- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,523.80 / $37,188.80 / $44,904.60
| Facility | | $19,523.80 | $37,188.80 | $44,904.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $33,580.85 / $57,641.92
| Facility | | $6,916.00 | $33,580.85 | $57,641.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,155.20 / $31,017.66 / $34,281.14
| Facility | | $23,155.20 | $31,017.66 | $34,281.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,074.59 / $27,118.40 / $36,167.68
| Facility | | $17,074.59 | $27,118.40 | $36,167.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,528.72 / $33,987.83 / $53,370.88
| Facility | | $20,528.72 | $33,987.83 | $53,370.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,814.72 / $30,701.28 / $40,575.78
| Facility | | $22,814.72 | $30,701.28 | $40,575.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $30,619.49 / $44,108.06
| Facility | | $3,775.00 | $30,619.49 | $44,108.06 |