- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,051.30 / $38,193.60 / $46,117.90
| Facility | | $20,051.30 | $38,193.60 | $46,117.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $34,488.15 / $59,199.31
| Facility | | $6,916.00 | $34,488.15 | $59,199.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,797.04 / $31,702.50 / $37,146.74
| Facility | | $27,797.04 | $31,702.50 | $37,146.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,994.81 / $27,317.30 / $36,233.91
| Facility | | $18,994.81 | $27,317.30 | $36,233.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,568.49 / $34,811.33 / $53,147.75
| Facility | | $20,568.49 | $34,811.33 | $53,147.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,856.50 / $30,682.91 / $39,785.71
| Facility | | $22,856.50 | $30,682.91 | $39,785.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $31,446.78 / $45,299.78
| Facility | | $3,775.00 | $31,446.78 | $45,299.78 |