- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,968.80 / $45,655.70 / $55,128.10
| Facility | | $23,968.80 | $45,655.70 | $55,128.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $41,226.25 / $63,246.53
| Facility | | $6,916.00 | $41,226.25 | $63,246.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,450.60 / $36,156.90 / $43,344.22
| Facility | | $30,450.60 | $36,156.90 | $43,344.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,906.59 / $27,659.00 / $38,021.98
| Facility | | $18,906.59 | $27,659.00 | $38,021.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,573.85 / $38,662.74 / $59,130.00
| Facility | | $21,573.85 | $38,662.74 | $59,130.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,984.42 / $34,690.01 / $45,199.78
| Facility | | $23,984.42 | $34,690.01 | $45,199.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $37,590.67 / $54,150.20
| Facility | | $3,775.00 | $37,590.67 | $54,150.20 |