- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,898.80 / $37,903.10 / $45,767.10
| Facility | | $19,898.80 | $37,903.10 | $45,767.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $34,225.85 / $58,749.07
| Facility | | $6,916.00 | $34,225.85 | $58,749.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,601.38 / $31,880.18 / $36,905.50
| Facility | | $27,601.38 | $31,880.18 | $36,905.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,598.79 / $31,409.40 / $42,880.20
| Facility | | $20,598.79 | $31,409.40 | $42,880.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,921.41 / $36,322.50 / $55,342.00
| Facility | | $20,921.41 | $36,322.50 | $55,342.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,254.75 / $32,231.00 / $43,446.27
| Facility | | $23,254.75 | $32,231.00 | $43,446.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $33,441.04 / $44,955.26
| Facility | | $3,775.00 | $33,441.04 | $44,955.26 |