- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,168.20 / $43,332.60 / $76,308.80
| Facility | | $27,168.20 | $43,332.60 | $76,308.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,316.92 / $35,901.44 / $52,540.34
| Facility | | $12,316.92 | $35,901.44 | $52,540.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,121.38 / $33,693.44 / $56,444.39
| Facility | | $25,121.38 | $33,693.44 | $56,444.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,977.20 / $26,459.40 / $33,404.37
| Facility | | $16,977.20 | $26,459.40 | $33,404.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,789.83 / $31,468.11 / $49,799.45
| Facility | | $8,789.83 | $31,468.11 | $49,799.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,163.20 / $35,246.98 / $47,920.19
| Facility | | $25,163.20 | $35,246.98 | $47,920.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $27,141.94 / $70,705.50
| Facility | | $3,775.00 | $27,141.94 | $70,705.50 |