- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,985.50 / $49,421.10 / $87,030.60
| Facility | | $30,985.50 | $49,421.10 | $87,030.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,655.62 / $42,042.01 / $61,117.03
| Facility | | $15,655.62 | $42,042.01 | $61,117.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,651.07 / $38,427.55 / $64,375.13
| Facility | | $28,651.07 | $38,427.55 | $64,375.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,198.44 / $34,041.15 / $41,617.74
| Facility | | $23,198.44 | $34,041.15 | $41,617.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,351.40 / $37,574.69 / $57,197.01
| Facility | | $11,351.40 | $37,574.69 | $57,197.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,901.13 / $40,482.82 / $55,038.60
| Facility | | $28,901.13 | $40,482.82 | $55,038.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $30,955.53 / $84,580.52
| Facility | | $3,775.00 | $30,955.53 | $84,580.52 |