- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,543.80 / $37,226.90 / $44,950.60
| Facility | | $19,543.80 | $37,226.90 | $44,950.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $33,615.25 / $57,700.97
| Facility | | $6,916.00 | $33,615.25 | $57,700.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,362.00 / $31,020.18 / $35,641.46
| Facility | | $25,362.00 | $31,020.18 | $35,641.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,646.09 / $26,295.60 / $35,900.57
| Facility | | $16,646.09 | $26,295.60 | $35,900.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,378.34 / $33,509.78 / $51,529.70
| Facility | | $20,378.34 | $33,509.78 | $51,529.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,646.23 / $30,297.97 / $37,222.32
| Facility | | $22,646.23 | $30,297.97 | $37,222.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $30,650.85 / $44,153.24
| Facility | | $3,775.00 | $30,650.85 | $44,153.24 |