- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,098.10 / $39,471.40 / $53,901.70
| Facility | | $22,098.10 | $39,471.40 | $53,901.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,459.92 / $8,459.92 / $8,639.91
| Facility | | $8,459.92 | $8,459.92 | $8,639.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,910.25 / $36,550.08 / $54,309.68
| Facility | | $20,910.25 | $36,550.08 | $54,309.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,782.83 / $39,782.83 / $48,307.73
| Facility | | $39,782.83 | $39,782.83 | $48,307.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,772.20 / $39,471.40 / $53,341.50
| Facility | | $21,772.20 | $39,471.40 | $53,341.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,670.73 / $32,320.23 / $50,893.44
| Facility | | $19,670.73 | $32,320.23 | $50,893.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,228.91 / $34,756.26 / $55,800.00
| Facility | | $11,228.91 | $34,756.26 | $55,800.00 |