- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,931.30 / $45,584.20 / $55,041.90
| Facility | | $23,931.30 | $45,584.20 | $55,041.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $41,161.75 / $69,679.87
| Facility | | $12,397.00 | $41,161.75 | $69,679.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,219.46 / $37,654.19 / $43,284.86
| Facility | | $32,219.46 | $37,654.19 | $43,284.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,883.37 / $33,358.90 / $43,214.60
| Facility | | $22,883.37 | $33,358.90 | $43,214.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,748.60 / $40,734.37 / $63,137.45
| Facility | | $23,748.60 | $40,734.37 | $63,137.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,424.08 / $36,450.10 / $49,083.24
| Facility | | $26,424.08 | $36,450.10 | $49,083.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $40,217.90 / $57,865.76
| Facility | | $3,775.00 | $40,217.90 | $57,865.76 |