- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,533.80 / $37,207.90 / $44,927.60
| Facility | | $19,533.80 | $37,207.90 | $44,927.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $33,598.05 / $57,671.44
| Facility | | $6,916.00 | $33,598.05 | $57,671.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,133.04 / $32,085.96 / $36,724.19
| Facility | | $27,133.04 | $32,085.96 | $36,724.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,152.41 / $30,913.73 / $40,680.19
| Facility | | $21,152.41 | $30,913.73 | $40,680.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,257.81 / $35,963.68 / $56,794.11
| Facility | | $20,257.81 | $35,963.68 | $56,794.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,509.76 / $31,607.42 / $44,082.78
| Facility | | $22,509.76 | $31,607.42 | $44,082.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $30,635.17 / $44,130.65
| Facility | | $3,775.00 | $30,635.17 | $44,130.65 |