- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,283.80 / $31,017.30 / $37,452.60
| Facility | | $16,283.80 | $31,017.30 | $37,452.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $28,008.05 / $48,076.14
| Facility | | $6,916.00 | $28,008.05 | $48,076.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,509.20 / $26,088.52 / $30,790.42
| Facility | | $20,509.20 | $26,088.52 | $30,790.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,549.23 / $21,666.50 / $28,953.57
| Facility | | $13,549.23 | $21,666.50 | $28,953.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,468.75 / $27,816.82 / $42,725.37
| Facility | | $16,468.75 | $27,816.82 | $42,725.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,264.03 / $25,222.47 / $32,189.67
| Facility | | $18,264.03 | $25,222.47 | $32,189.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $25,538.13 / $36,788.25
| Facility | | $3,775.00 | $25,538.13 | $36,788.25 |