- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,786.30 / $39,593.60 / $47,808.40
| Facility | | $20,786.30 | $39,593.60 | $47,808.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $35,752.35 / $58,586.76
| Facility | | $12,397.00 | $35,752.35 | $58,586.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,754.78 / $32,532.25 / $36,082.26
| Facility | | $27,754.78 | $32,532.25 | $36,082.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,465.70 / $28,376.70 / $37,888.40
| Facility | | $19,465.70 | $28,376.70 | $37,888.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,995.59 / $34,622.35 / $54,367.15
| Facility | | $19,995.59 | $34,622.35 | $54,367.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,217.34 / $31,078.54 / $42,066.75
| Facility | | $22,217.34 | $31,078.54 | $42,066.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $34,932.54 / $50,261.15
| Facility | | $3,775.00 | $34,932.54 | $50,261.15 |