- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,897.50 / $32,186.40 / $38,864.30
| Facility | | $16,897.50 | $32,186.40 | $38,864.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $29,063.70 / $49,888.18
| Facility | | $6,916.00 | $29,063.70 | $49,888.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,750.78 / $27,120.70 / $31,729.16
| Facility | | $23,750.78 | $27,120.70 | $31,729.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,091.57 / $24,738.40 / $32,014.40
| Facility | | $16,091.57 | $24,738.40 | $32,014.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,699.05 / $31,366.21 / $49,563.53
| Facility | | $17,699.05 | $31,366.21 | $49,563.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,644.00 / $27,802.04 / $39,040.22
| Facility | | $19,644.00 | $27,802.04 | $39,040.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $26,500.69 / $38,174.83
| Facility | | $3,775.00 | $26,500.69 | $38,174.83 |