- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,618.40 / $42,455.80 / $74,764.70
| Facility | | $26,618.40 | $42,455.80 | $74,764.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,689.60 / $34,303.23 / $49,867.06
| Facility | | $13,689.60 | $34,303.23 | $49,867.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,613.04 / $33,011.64 / $55,302.21
| Facility | | $24,613.04 | $33,011.64 | $55,302.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,850.45 / $27,479.80 / $33,817.50
| Facility | | $18,850.45 | $27,479.80 | $33,817.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,172.85 / $30,894.88 / $46,668.61
| Facility | | $10,172.85 | $30,894.88 | $46,668.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,581.22 / $33,323.86 / $45,261.60
| Facility | | $23,581.22 | $33,323.86 | $45,261.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $26,592.71 / $72,659.89
| Facility | | $3,775.00 | $26,592.71 | $72,659.89 |