- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,268.60 / $37,112.90 / $65,355.80
| Facility | | $23,268.60 | $37,112.90 | $65,355.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,832.64 / $32,372.39 / $45,900.49
| Facility | | $10,832.64 | $32,372.39 | $45,900.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,515.59 / $28,857.26 / $48,342.65
| Facility | | $21,515.59 | $28,857.26 | $48,342.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,197.18 / $25,069.70 / $31,394.25
| Facility | | $17,197.18 | $25,069.70 | $31,394.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,108.19 / $27,783.19 / $45,579.38
| Facility | | $10,108.19 | $27,783.19 | $45,579.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,649.00 / $32,420.82 / $44,449.49
| Facility | | $23,649.00 | $32,420.82 | $44,449.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,316.03 / $32,746.84 / $45,921.40
| Facility | | $12,316.03 | $32,746.84 | $45,921.40 |