- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,596.30 / $37,326.90 / $45,071.40
| Facility | | $19,596.30 | $37,326.90 | $45,071.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $33,705.55 / $55,994.33
| Facility | | $6,916.00 | $33,705.55 | $55,994.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,936.25 / $31,090.74 / $36,426.92
| Facility | | $25,936.25 | $31,090.74 | $36,426.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,476.53 / $24,075.40 / $33,662.17
| Facility | | $16,476.53 | $24,075.40 | $33,662.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,118.22 / $33,090.33 / $50,083.98
| Facility | | $19,118.22 | $33,090.33 | $50,083.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,234.23 / $29,571.16 / $35,325.17
| Facility | | $21,234.23 | $29,571.16 | $35,325.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $32,932.67 / $44,271.85
| Facility | | $3,775.00 | $32,932.67 | $44,271.85 |