- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,547.50 / $33,424.50 / $40,359.30
| Facility | | $17,547.50 | $33,424.50 | $40,359.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $30,181.70 / $51,584.26
| Facility | | $6,916.00 | $30,181.70 | $51,584.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,610.55 / $28,336.30 / $32,393.52
| Facility | | $24,610.55 | $28,336.30 | $32,393.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,527.36 / $27,733.20 / $37,613.40
| Facility | | $18,527.36 | $27,733.20 | $37,613.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,625.73 / $31,936.20 / $49,356.24
| Facility | | $17,625.73 | $31,936.20 | $49,356.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,561.84 / $28,472.22 / $39,156.62
| Facility | | $19,561.84 | $28,472.22 | $39,156.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $27,520.10 / $39,643.31
| Facility | | $3,775.00 | $27,520.10 | $39,643.31 |