- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,036.30 / $40,069.80 / $48,383.40
| Facility | | $21,036.30 | $40,069.80 | $48,383.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $36,182.35 / $60,624.72
| Facility | | $12,397.00 | $36,182.35 | $60,624.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,071.30 / $33,379.60 / $38,308.86
| Facility | | $29,071.30 | $33,379.60 | $38,308.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,198.75 / $28,591.20 / $37,631.00
| Facility | | $19,198.75 | $28,591.20 | $37,631.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,686.55 / $35,596.69 / $55,365.12
| Facility | | $20,686.55 | $35,596.69 | $55,365.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,990.18 / $32,018.80 / $42,321.85
| Facility | | $22,990.18 | $32,018.80 | $42,321.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $35,352.68 / $50,865.65
| Facility | | $3,775.00 | $35,352.68 | $50,865.65 |