- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,951.30 / $39,907.90 / $48,187.90
| Facility | | $20,951.30 | $39,907.90 | $48,187.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $36,036.15 / $61,856.47
| Facility | | $6,916.00 | $36,036.15 | $61,856.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,591.26 / $32,912.50 / $38,570.51
| Facility | | $27,591.26 | $32,912.50 | $38,570.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,796.39 / $27,665.80 / $37,668.78
| Facility | | $17,796.39 | $27,665.80 | $37,668.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,373.76 / $36,036.15 / $55,585.98
| Facility | | $21,373.76 | $36,036.15 | $55,585.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,761.62 / $32,914.75 / $41,445.10
| Facility | | $23,761.62 | $32,914.75 | $41,445.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $35,209.83 / $47,333.06
| Facility | | $3,775.00 | $35,209.83 | $47,333.06 |