- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,408.80 / $38,874.60 / $46,940.10
| Facility | | $20,408.80 | $38,874.60 | $46,940.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $35,103.05 / $59,398.27
| Facility | | $6,916.00 | $35,103.05 | $59,398.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,588.80 / $32,183.12 / $36,920.26
| Facility | | $25,588.80 | $32,183.12 | $36,920.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,168.33 / $26,054.20 / $35,708.51
| Facility | | $16,168.33 | $26,054.20 | $35,708.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,272.72 / $33,425.90 / $52,693.32
| Facility | | $20,272.72 | $33,425.90 | $52,693.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,525.08 / $30,483.71 / $38,091.65
| Facility | | $22,525.08 | $30,483.71 | $38,091.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $34,298.12 / $46,107.45
| Facility | | $3,775.00 | $34,298.12 | $46,107.45 |