- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,136.30 / $45,974.70 / $55,513.40
| Facility | | $24,136.30 | $45,974.70 | $55,513.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $41,514.35 / $71,259.86
| Facility | | $6,916.00 | $41,514.35 | $71,259.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,038.06 / $37,473.26 / $44,005.34
| Facility | | $33,038.06 | $37,473.26 | $44,005.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,355.40 / $34,047.03 / $45,117.60
| Facility | | $23,355.40 | $34,047.03 | $45,117.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,203.82 / $41,448.78 / $65,318.30
| Facility | | $25,203.82 | $41,448.78 | $65,318.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,053.31 / $37,709.12 / $48,045.50
| Facility | | $28,053.31 | $37,709.12 | $48,045.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $37,853.36 / $54,528.62
| Facility | | $3,775.00 | $37,853.36 | $54,528.62 |