- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,542.50 / $42,939.00 / $51,847.80
| Facility | | $22,542.50 | $42,939.00 | $51,847.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $38,773.10 / $66,554.48
| Facility | | $12,397.00 | $38,773.10 | $66,554.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,963.37 / $35,657.44 / $40,074.86
| Facility | | $30,963.37 | $35,657.44 | $40,074.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,191.14 / $30,917.90 / $40,335.44
| Facility | | $21,191.14 | $30,917.90 | $40,335.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,874.99 / $39,650.24 / $60,963.30
| Facility | | $22,874.99 | $39,650.24 | $60,963.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,443.76 / $35,194.93 / $47,084.54
| Facility | | $25,443.76 | $35,194.93 | $47,084.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $37,884.01 / $54,507.77
| Facility | | $3,775.00 | $37,884.01 | $54,507.77 |