- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,037.20 / $36,743.80 / $64,705.90
| Facility | | $23,037.20 | $36,743.80 | $64,705.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,021.18 / $33,222.86 / $48,862.87
| Facility | | $12,021.18 | $33,222.86 | $48,862.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,301.62 / $28,570.28 / $47,861.90
| Facility | | $21,301.62 | $28,570.28 | $47,861.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,743.48 / $27,462.60 / $34,264.10
| Facility | | $16,743.48 | $27,462.60 | $34,264.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,267.57 / $30,473.37 / $45,198.80
| Facility | | $7,267.57 | $30,473.37 | $45,198.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,838.54 / $32,535.47 / $44,248.24
| Facility | | $22,838.54 | $32,535.47 | $44,248.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $23,014.95 / $62,884.29
| Facility | | $3,775.00 | $23,014.95 | $62,884.29 |