- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,387.50 / $38,834.10 / $46,891.30
| Facility | | $20,387.50 | $38,834.10 | $46,891.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $35,066.50 / $58,252.61
| Facility | | $12,397.00 | $35,066.50 | $58,252.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,228.42 / $32,154.54 / $36,888.86
| Facility | | $28,228.42 | $32,154.54 | $36,888.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,125.41 / $27,880.65 / $36,207.60
| Facility | | $19,125.41 | $27,880.65 | $36,207.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,883.75 / $34,498.91 / $53,211.40
| Facility | | $19,883.75 | $34,498.91 | $53,211.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,090.62 / $30,617.52 / $40,768.96
| Facility | | $22,090.62 | $30,617.52 | $40,768.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $34,262.42 / $49,296.98
| Facility | | $3,775.00 | $34,262.42 | $49,296.98 |