- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,976.30 / $47,574.80 / $57,445.40
| Facility | | $24,976.30 | $47,574.80 | $57,445.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $42,959.15 / $73,370.23
| Facility | | $12,397.00 | $42,959.15 | $73,370.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,115.82 / $40,014.92 / $45,334.22
| Facility | | $34,115.82 | $40,014.92 | $45,334.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,488.85 / $35,659.80 / $49,150.78
| Facility | | $26,488.85 | $35,659.80 | $49,150.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,001.27 / $43,358.77 / $66,601.44
| Facility | | $25,001.27 | $43,358.77 | $66,601.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,823.54 / $39,031.53 / $51,307.70
| Facility | | $27,823.54 | $39,031.53 | $51,307.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $41,974.09 / $60,392.57
| Facility | | $3,775.00 | $41,974.09 | $60,392.57 |