- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,665.00 / $35,553.10 / $42,929.50
| Facility | | $18,665.00 | $35,553.10 | $42,929.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $32,103.80 / $51,356.59
| Facility | | $12,397.00 | $32,103.80 | $51,356.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,156.40 / $28,701.70 / $34,342.26
| Facility | | $25,156.40 | $28,701.70 | $34,342.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,621.82 / $24,910.05 / $33,213.40
| Facility | | $15,621.82 | $24,910.05 | $33,213.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,548.68 / $31,001.20 / $48,587.04
| Facility | | $17,548.68 | $31,001.20 | $48,587.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,475.50 / $27,346.83 / $37,140.58
| Facility | | $19,475.50 | $27,346.83 | $37,140.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $31,367.65 / $45,131.97
| Facility | | $3,775.00 | $31,367.65 | $45,131.97 |