- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,952.50 / $41,815.10 / $50,490.80
| Facility | | $21,952.50 | $41,815.10 | $50,490.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $37,758.30 / $64,812.56
| Facility | | $6,916.00 | $37,758.30 | $64,812.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,584.00 / $34,258.62 / $40,154.51
| Facility | | $28,584.00 | $34,258.62 | $40,154.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,647.45 / $28,063.60 / $40,240.51
| Facility | | $17,647.45 | $28,063.60 | $40,240.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,821.54 / $37,626.57 / $59,380.97
| Facility | | $22,821.54 | $37,626.57 | $59,380.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,383.88 / $34,263.18 / $42,782.52
| Facility | | $25,383.88 | $34,263.18 | $42,782.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $34,428.54 / $49,595.09
| Facility | | $3,775.00 | $34,428.54 | $49,595.09 |