- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,460.00 / $35,162.60 / $42,458.00
| Facility | | $18,460.00 | $35,162.60 | $42,458.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $31,751.20 / $53,974.73
| Facility | | $6,916.00 | $31,751.20 | $53,974.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,755.46 / $29,558.22 / $34,629.37
| Facility | | $25,755.46 | $29,558.22 | $34,629.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,460.70 / $25,453.85 / $33,321.19
| Facility | | $17,460.70 | $25,453.85 | $33,321.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,437.22 / $31,751.20 / $47,881.99
| Facility | | $18,437.22 | $31,751.20 | $47,881.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,468.36 / $28,110.69 / $36,343.10
| Facility | | $20,468.36 | $28,110.69 | $36,343.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $28,951.19 / $41,704.83
| Facility | | $3,775.00 | $28,951.19 | $41,704.83 |