- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,577.50 / $37,291.19 / $45,028.30
| Facility | | $19,577.50 | $37,291.19 | $45,028.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $33,673.30 / $57,800.61
| Facility | | $12,397.00 | $33,673.30 | $57,800.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,189.20 / $31,065.54 / $35,691.36
| Facility | | $27,189.20 | $31,065.54 | $35,691.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,013.14 / $27,716.97 / $36,084.40
| Facility | | $19,013.14 | $27,716.97 | $36,084.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,805.45 / $33,684.00 / $51,754.15
| Facility | | $19,805.45 | $33,684.00 | $51,754.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,004.29 / $29,878.37 / $39,726.26
| Facility | | $22,004.29 | $29,878.37 | $39,726.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,251.00 / $34,807.23 / $42,444.02
| Facility | | $20,251.00 | $34,807.23 | $42,444.02 |