- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,481.30 / $37,107.90 / $44,806.90
| Facility | | $19,481.30 | $37,107.90 | $44,806.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $33,507.75 / $57,516.44
| Facility | | $6,916.00 | $33,507.75 | $57,516.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,065.70 / $30,936.14 / $36,245.01
| Facility | | $27,065.70 | $30,936.14 | $36,245.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,468.72 / $26,244.60 / $34,878.50
| Facility | | $17,468.72 | $26,244.60 | $34,878.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,804.24 / $32,965.39 / $51,468.50
| Facility | | $19,804.24 | $32,965.39 | $51,468.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,001.50 / $30,017.61 / $37,814.26
| Facility | | $22,001.50 | $30,017.61 | $37,814.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $30,552.83 / $44,012.04
| Facility | | $3,775.00 | $30,552.83 | $44,012.04 |