- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,051.30 / $42,003.20 / $50,717.90
| Facility | | $22,051.30 | $42,003.20 | $50,717.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $37,928.15 / $64,821.82
| Facility | | $6,916.00 | $37,928.15 | $64,821.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,363.00 / $34,391.37 / $40,706.87
| Facility | | $30,363.00 | $34,391.37 | $40,706.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,699.63 / $30,337.11 / $39,380.00
| Facility | | $20,699.63 | $30,337.11 | $39,380.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,105.74 / $37,822.73 / $57,504.65
| Facility | | $22,105.74 | $37,822.73 | $57,504.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,581.80 / $34,070.29 / $43,555.25
| Facility | | $24,581.80 | $34,070.29 | $43,555.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $34,583.42 / $49,818.18
| Facility | | $3,775.00 | $34,583.42 | $49,818.18 |