- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,377.50 / $38,815.10 / $46,868.30
| Facility | | $20,377.50 | $38,815.10 | $46,868.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $35,049.30 / $60,162.53
| Facility | | $6,916.00 | $35,049.30 | $60,162.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,215.62 / $32,141.10 / $37,662.86
| Facility | | $28,215.62 | $32,141.10 | $37,662.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,011.99 / $27,162.60 / $36,726.18
| Facility | | $19,011.99 | $27,162.60 | $36,726.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,845.61 / $35,284.28 / $54,195.03
| Facility | | $20,845.61 | $35,284.28 | $54,195.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,167.02 / $32,109.41 / $41,048.83
| Facility | | $23,167.02 | $32,109.41 | $41,048.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $31,958.44 / $46,036.85
| Facility | | $3,775.00 | $31,958.44 | $46,036.85 |