- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,081.30 / $42,060.40 / $50,786.90
| Facility | | $22,081.30 | $42,060.40 | $50,786.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $37,979.75 / $65,528.42
| Facility | | $6,916.00 | $37,979.75 | $65,528.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,401.54 / $34,732.00 / $40,754.32
| Facility | | $30,401.54 | $34,732.00 | $40,754.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,742.02 / $30,756.40 / $41,172.08
| Facility | | $20,742.02 | $30,756.40 | $41,172.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,344.73 / $38,662.44 / $60,755.63
| Facility | | $23,344.73 | $38,662.44 | $60,755.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,971.52 / $35,270.36 / $45,274.08
| Facility | | $25,971.52 | $35,270.36 | $45,274.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $34,630.47 / $49,885.96
| Facility | | $3,775.00 | $34,630.47 | $49,885.96 |