- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,236.30 / $44,260.40 / $53,443.40
| Facility | | $23,236.30 | $44,260.40 | $53,443.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $39,966.35 / $65,207.38
| Facility | | $12,397.00 | $39,966.35 | $65,207.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,381.07 / $36,127.96 / $41,100.50
| Facility | | $30,381.07 | $36,127.96 | $41,100.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,244.78 / $30,761.50 / $39,809.00
| Facility | | $20,244.78 | $30,761.50 | $39,809.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,236.23 / $38,534.86 / $57,846.69
| Facility | | $22,236.23 | $38,534.86 | $57,846.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,728.02 / $34,722.22 / $43,797.96
| Facility | | $24,728.02 | $34,722.22 | $43,797.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $39,049.91 / $56,185.25
| Facility | | $3,775.00 | $39,049.91 | $56,185.25 |