- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,593.80 / $43,036.60 / $51,965.60
| Facility | | $22,593.80 | $43,036.60 | $51,965.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $38,861.25 / $66,268.58
| Facility | | $12,397.00 | $38,861.25 | $66,268.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,949.42 / $36,197.87 / $39,230.22
| Facility | | $30,949.42 | $36,197.87 | $39,230.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,812.04 / $34,244.10 / $45,392.60
| Facility | | $22,812.04 | $34,244.10 | $45,392.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,596.60 / $39,252.23 / $61,288.25
| Facility | | $22,596.60 | $39,252.23 | $61,288.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,177.62 / $35,096.73 / $47,084.54
| Facility | | $25,177.62 | $35,096.73 | $47,084.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $37,970.15 / $54,631.69
| Facility | | $3,775.00 | $37,970.15 | $54,631.69 |