- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,473.80 / $38,998.40 / $47,089.60
| Facility | | $20,473.80 | $38,998.40 | $47,089.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $35,214.85 / $60,446.70
| Facility | | $12,397.00 | $35,214.85 | $60,446.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,286.38 / $32,454.34 / $35,685.60
| Facility | | $28,286.38 | $32,454.34 | $35,685.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,310.57 / $26,652.37 / $36,613.60
| Facility | | $15,310.57 | $26,652.37 | $36,613.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,778.52 / $35,176.12 / $54,028.90
| Facility | | $20,778.52 | $35,176.12 | $54,028.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,096.01 / $31,042.63 / $42,463.02
| Facility | | $23,096.01 | $31,042.63 | $42,463.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $34,407.37 / $49,505.53
| Facility | | $3,775.00 | $34,407.37 | $49,505.53 |