- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,753.80 / $35,722.10 / $43,133.60
| Facility | | $18,753.80 | $35,722.10 | $43,133.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $32,256.45 / $55,368.57
| Facility | | $12,397.00 | $32,256.45 | $55,368.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,125.78 / $29,853.22 / $33,142.69
| Facility | | $26,125.78 | $29,853.22 | $33,142.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,356.65 / $26,225.90 / $34,123.54
| Facility | | $18,356.65 | $26,225.90 | $34,123.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,377.95 / $32,758.86 / $50,354.44
| Facility | | $19,377.95 | $32,758.86 | $50,354.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,525.27 / $30,225.03 / $35,431.67
| Facility | | $21,525.27 | $30,225.03 | $35,431.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $31,516.80 / $45,346.57
| Facility | | $3,775.00 | $31,516.80 | $45,346.57 |