- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,601.30 / $43,050.90 / $51,982.90
| Facility | | $22,601.30 | $43,050.90 | $51,982.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $38,874.15 / $61,270.99
| Facility | | $12,397.00 | $38,874.15 | $61,270.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,027.00 / $35,130.86 / $41,180.83
| Facility | | $27,027.00 | $35,130.86 | $41,180.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,463.45 / $30,810.45 / $41,419.40
| Facility | | $17,463.45 | $30,810.45 | $41,419.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,904.02 / $38,107.30 / $58,624.59
| Facility | | $20,904.02 | $38,107.30 | $58,624.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,235.26 / $33,185.54 / $46,722.95
| Facility | | $23,235.26 | $33,185.54 | $46,722.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $37,982.76 / $54,649.82
| Facility | | $3,775.00 | $37,982.76 | $54,649.82 |