- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,271.30 / $42,422.30 / $51,223.90
| Facility | | $22,271.30 | $42,422.30 | $51,223.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $38,306.55 / $64,237.97
| Facility | | $12,397.00 | $38,306.55 | $64,237.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,397.25 / $34,741.50 / $38,670.58
| Facility | | $30,397.25 | $34,741.50 | $38,670.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,770.66 / $30,279.06 / $39,949.80
| Facility | | $20,770.66 | $30,279.06 | $39,949.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,908.15 / $37,686.51 / $58,125.85
| Facility | | $21,908.15 | $37,686.51 | $58,125.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,360.40 / $33,556.83 / $45,286.46
| Facility | | $24,360.40 | $33,556.83 | $45,286.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $37,428.17 / $53,851.88
| Facility | | $3,775.00 | $37,428.17 | $53,851.88 |