- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,887.50 / $43,596.10 / $52,641.30
| Facility | | $22,887.50 | $43,596.10 | $52,641.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $39,366.50 / $67,573.06
| Facility | | $6,916.00 | $39,366.50 | $67,573.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,060.40 / $35,606.64 / $41,633.66
| Facility | | $26,060.40 | $35,606.64 | $41,633.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,267.91 / $28,641.60 / $41,673.19
| Facility | | $17,267.91 | $28,641.60 | $41,673.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,628.06 / $38,850.30 / $60,645.05
| Facility | | $23,628.06 | $38,850.30 | $60,645.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,287.62 / $35,011.19 / $44,110.03
| Facility | | $26,287.62 | $35,011.19 | $44,110.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $35,894.92 / $51,707.44
| Facility | | $3,775.00 | $35,894.92 | $51,707.44 |