- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,527.50 / $46,720.00 / $56,413.30
| Facility | | $24,527.50 | $46,720.00 | $56,413.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $42,187.30 / $70,660.30
| Facility | | $6,916.00 | $42,187.30 | $70,660.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,535.19 / $38,058.08 / $44,228.12
| Facility | | $33,535.19 | $38,058.08 | $44,228.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,733.07 / $32,072.20 / $42,478.92
| Facility | | $21,733.07 | $32,072.20 | $42,478.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,082.88 / $41,504.44 / $62,684.07
| Facility | | $24,082.88 | $41,504.44 | $62,684.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,795.88 / $37,313.78 / $47,158.84
| Facility | | $26,795.88 | $37,313.78 | $47,158.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $38,466.97 / $55,412.53
| Facility | | $3,775.00 | $38,466.97 | $55,412.53 |