- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,718.80 / $41,369.90 / $49,953.10
| Facility | | $21,718.80 | $41,369.90 | $49,953.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $37,356.25 / $60,132.67
| Facility | | $12,397.00 | $37,356.25 | $60,132.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,928.62 / $33,859.62 / $38,857.00
| Facility | | $29,928.62 | $33,859.62 | $38,857.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,317.00 / $31,453.21 / $41,965.00
| Facility | | $21,317.00 | $31,453.21 | $41,965.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,518.78 / $36,594.32 / $57,271.60
| Facility | | $20,518.78 | $36,594.32 | $57,271.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,803.58 / $32,446.58 / $44,867.90
| Facility | | $22,803.58 | $32,446.58 | $44,867.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $36,499.66 / $52,515.94
| Facility | | $3,775.00 | $36,499.66 | $52,515.94 |