- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,285.00 / $46,258.10 / $55,855.50
| Facility | | $24,285.00 | $46,258.10 | $55,855.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $41,770.19 / $67,311.42
| Facility | | $12,397.00 | $41,770.19 | $67,311.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,924.00 / $37,376.91 / $42,153.74
| Facility | | $30,924.00 | $37,376.91 | $42,153.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,208.12 / $30,920.22 / $40,750.60
| Facility | | $20,208.12 | $30,920.22 | $40,750.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,948.30 / $39,033.50 / $60,574.70
| Facility | | $22,948.30 | $39,033.50 | $60,574.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,525.92 / $34,970.58 / $46,579.30
| Facility | | $25,525.92 | $34,970.58 | $46,579.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $41,978.08 / $58,721.13
| Facility | | $3,775.00 | $41,978.08 | $58,721.13 |