- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,812.50 / $32,024.50 / $38,668.80
| Facility | | $16,812.50 | $32,024.50 | $38,668.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $28,917.50 / $48,955.10
| Facility | | $12,397.00 | $28,917.50 | $48,955.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,533.93 / $26,935.64 / $31,230.76
| Facility | | $22,533.93 | $26,935.64 | $31,230.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,130.31 / $23,123.40 / $29,924.40
| Facility | | $15,130.31 | $23,123.40 | $29,924.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,735.93 / $28,614.60 / $44,462.52
| Facility | | $16,735.93 | $28,614.60 | $44,462.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,564.81 / $26,068.06 / $33,987.75
| Facility | | $18,564.81 | $26,068.06 | $33,987.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,391.00 / $29,891.28 / $36,449.50
| Facility | | $17,391.00 | $29,891.28 | $36,449.50 |