- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,028.80 / $38,150.80 / $46,066.10
| Facility | | $20,028.80 | $38,150.80 | $46,066.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $34,449.44 / $58,513.32
| Facility | | $12,397.00 | $34,449.44 | $58,513.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,277.20 / $31,672.24 / $35,027.72
| Facility | | $27,277.20 | $31,672.24 | $35,027.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,233.84 / $27,503.85 / $36,671.80
| Facility | | $17,233.84 | $27,503.85 | $36,671.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,970.75 / $33,870.55 / $53,509.55
| Facility | | $19,970.75 | $33,870.55 | $53,509.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,189.49 / $30,754.55 / $41,056.26
| Facility | | $22,189.49 | $30,754.55 | $41,056.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $33,659.51 / $48,429.52
| Facility | | $3,775.00 | $33,659.51 | $48,429.52 |