- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,493.80 / $33,322.10 / $40,235.60
| Facility | | $17,493.80 | $33,322.10 | $40,235.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $30,089.25 / $51,648.55
| Facility | | $12,397.00 | $30,089.25 | $51,648.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,293.80 / $27,947.76 / $31,279.92
| Facility | | $23,293.80 | $27,947.76 | $31,279.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,593.75 / $24,711.20 / $32,437.01
| Facility | | $17,593.75 | $24,711.20 | $32,437.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,428.52 / $30,430.98 / $47,268.50
| Facility | | $18,428.52 | $30,430.98 | $47,268.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,461.40 / $27,374.92 / $34,317.16
| Facility | | $20,461.40 | $27,374.92 | $34,317.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $29,399.30 / $42,299.89
| Facility | | $3,775.00 | $29,399.30 | $42,299.89 |