- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,927.50 / $45,577.10 / $55,033.30
| Facility | | $23,927.50 | $45,577.10 | $55,033.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $41,155.30 / $68,446.08
| Facility | | $12,397.00 | $41,155.30 | $68,446.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,013.07 / $37,161.22 / $41,544.72
| Facility | | $32,013.07 | $37,161.22 | $41,544.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,202.60 / $32,086.44 / $42,165.20
| Facility | | $21,202.60 | $32,086.44 | $42,165.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,332.30 / $40,448.80 / $62,431.56
| Facility | | $23,332.30 | $40,448.80 | $62,431.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,956.20 / $35,975.19 / $47,723.53
| Facility | | $25,956.20 | $35,975.19 | $47,723.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $40,211.60 / $57,856.70
| Facility | | $3,775.00 | $40,211.60 | $57,856.70 |