- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,756.30 / $39,536.50 / $47,739.40
| Facility | | $20,756.30 | $39,536.50 | $47,739.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $35,700.75 / $61,047.00
| Facility | | $12,397.00 | $35,700.75 | $61,047.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,701.56 / $32,650.34 / $37,434.04
| Facility | | $28,701.56 | $32,650.34 | $37,434.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,823.20 / $28,559.85 / $38,079.80
| Facility | | $18,823.20 | $28,559.85 | $38,079.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,828.22 / $35,572.00 / $51,326.40
| Facility | | $20,828.22 | $35,572.00 | $51,326.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,150.31 / $30,924.16 / $40,132.44
| Facility | | $23,150.31 | $30,924.16 | $40,132.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,539.39 / $37,226.75 / $44,999.55
| Facility | | $27,539.39 | $37,226.75 | $44,999.55 |