- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,525.10 / $40,712.00 / $71,693.80
| Facility | | $25,525.10 | $40,712.00 | $71,693.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,770.51 / $35,599.67 / $51,751.71
| Facility | | $13,770.51 | $35,599.67 | $51,751.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,602.10 / $31,655.74 / $53,030.75
| Facility | | $23,602.10 | $31,655.74 | $53,030.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,595.16 / $28,565.43 / $35,153.51
| Facility | | $19,595.16 | $28,565.43 | $35,153.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,226.45 / $31,967.36 / $48,432.38
| Facility | | $10,226.45 | $31,967.36 | $48,432.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,472.44 / $34,279.40 / $46,604.71
| Facility | | $24,472.44 | $34,279.40 | $46,604.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,872.41 / $15,299.85 / $36,847.87
| Facility | | $10,872.41 | $15,299.85 | $36,847.87 |