- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,223.80 / $40,427.00 / $48,814.60
| Facility | | $21,223.80 | $40,427.00 | $48,814.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $36,504.85 / $62,192.66
| Facility | | $12,397.00 | $36,504.85 | $62,192.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,649.12 / $33,278.86 / $39,397.76
| Facility | | $28,649.12 | $33,278.86 | $39,397.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,974.40 / $28,038.87 / $37,388.43
| Facility | | $19,974.40 | $28,038.87 | $37,388.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,215.95 / $35,920.54 / $54,929.95
| Facility | | $21,215.95 | $35,920.54 | $54,929.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,584.77 / $31,711.80 / $40,424.69
| Facility | | $23,584.77 | $31,711.80 | $40,424.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $35,667.79 / $51,319.03
| Facility | | $3,775.00 | $35,667.79 | $51,319.03 |