- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,163.80 / $42,217.50 / $50,976.60
| Facility | | $22,163.80 | $42,217.50 | $50,976.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $38,121.65 / $64,186.56
| Facility | | $6,916.00 | $38,121.65 | $64,186.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,507.36 / $34,542.64 / $40,884.82
| Facility | | $30,507.36 | $34,542.64 | $40,884.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,759.00 / $29,430.40 / $38,587.10
| Facility | | $19,759.00 | $29,430.40 | $38,587.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,895.72 / $37,072.18 / $56,941.10
| Facility | | $21,895.72 | $37,072.18 | $56,941.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,340.90 / $33,736.40 / $41,900.81
| Facility | | $24,340.90 | $33,736.40 | $41,900.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $34,759.85 / $50,072.34
| Facility | | $3,775.00 | $34,759.85 | $50,072.34 |