- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,282.50 / $38,634.10 / $46,649.80
| Facility | | $20,282.50 | $38,634.10 | $46,649.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $34,885.90 / $59,166.94
| Facility | | $12,397.00 | $34,885.90 | $59,166.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,447.84 / $32,013.40 / $35,402.86
| Facility | | $27,447.84 | $32,013.40 | $35,402.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,962.52 / $27,640.80 / $36,493.60
| Facility | | $17,962.52 | $27,640.80 | $36,493.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,190.70 / $34,321.24 / $52,990.20
| Facility | | $20,190.70 | $34,321.24 | $52,990.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,437.35 / $30,942.07 / $40,506.43
| Facility | | $22,437.35 | $30,942.07 | $40,506.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $34,085.96 / $49,043.09
| Facility | | $3,775.00 | $34,085.96 | $49,043.09 |