- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,586.80 / $38,964.80 / $64,690.70
| Facility | | $24,586.80 | $38,964.80 | $64,690.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,743.00 / $31,899.30 / $40,963.36
| Facility | | $3,743.00 | $31,899.30 | $40,963.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,308.42 / $36,415.44 / $61,688.51
| Facility | | $24,308.42 | $36,415.44 | $61,688.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,760.24 / $41,560.40 / $60,371.00
| Facility | | $30,760.24 | $41,560.40 | $60,371.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,878.75 / $39,836.66 / $66,885.49
| Facility | | $20,878.75 | $39,836.66 | $66,885.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,080.34 / $38,590.61 / $55,988.46
| Facility | | $20,080.34 | $38,590.61 | $55,988.46 |