- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,030.50 / $49,492.90 / $87,157.10
| Facility | | $31,030.50 | $49,492.90 | $87,157.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,377.98 / $24,377.98 / $24,377.98
| Facility | | $24,377.98 | $24,377.98 | $24,377.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,889.23 / $42,408.83 / $62,140.91
| Facility | | $18,889.23 | $42,408.83 | $62,140.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,692.72 / $38,483.41 / $64,468.70
| Facility | | $28,692.72 | $38,483.41 | $64,468.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,414.32 / $35,659.80 / $49,150.78
| Facility | | $25,414.32 | $35,659.80 | $49,150.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,500.77 / $37,224.47 / $58,170.23
| Facility | | $14,500.77 | $37,224.47 | $58,170.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,392.88 / $41,171.64 / $55,975.09
| Facility | | $29,392.88 | $41,171.64 | $55,975.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $31,000.52 / $84,703.46
| Facility | | $3,775.00 | $31,000.52 | $84,703.46 |