- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,037.50 / $41,977.00 / $50,686.30
| Facility | | $22,037.50 | $41,977.00 | $50,686.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $37,904.50 / $65,063.52
| Facility | | $12,397.00 | $37,904.50 | $65,063.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,564.09 / $36,198.58 / $43,320.60
| Facility | | $30,564.09 | $36,198.58 | $43,320.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,392.87 / $26,776.63 / $74,999.25
| Facility | | $17,392.87 | $26,776.63 | $74,999.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,096.91 / $38,291.40 / $61,995.60
| Facility | | $19,096.91 | $38,291.40 | $61,995.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $37,035.33 / $53,286.68
| Facility | | $3,775.00 | $37,035.33 | $53,286.68 |