- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,357.30 / $38,849.30 / $68,413.60
| Facility | | $24,357.30 | $38,849.30 | $68,413.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,995.75 / $19,988.08 / $20,006.48
| Facility | | $17,995.75 | $19,988.08 | $20,006.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,071.79 / $33,478.79 / $48,668.57
| Facility | | $10,071.79 | $33,478.79 | $48,668.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,522.22 / $30,207.38 / $50,604.43
| Facility | | $22,522.22 | $30,207.38 | $50,604.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,068.65 / $24,395.25 / $30,551.91
| Facility | | $16,068.65 | $24,395.25 | $30,551.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,210.17 / $30,367.03 / $45,546.99
| Facility | | $8,210.17 | $30,367.03 | $45,546.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,014.47 / $32,565.94 / $44,311.76
| Facility | | $23,014.47 | $32,565.94 | $44,311.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $24,333.73 / $63,390.02
| Facility | | $3,775.00 | $24,333.73 | $63,390.02 |