- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,522.50 / $31,472.10 / $38,001.80
| Facility | | $16,522.50 | $31,472.10 | $38,001.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $28,418.70 / $48,781.03
| Facility | | $6,916.00 | $28,418.70 | $48,781.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,325.18 / $26,470.98 / $31,168.12
| Facility | | $22,325.18 | $26,470.98 | $31,168.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,566.62 / $23,264.50 / $30,107.00
| Facility | | $14,566.62 | $23,264.50 | $30,107.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,902.46 / $28,609.55 / $43,865.50
| Facility | | $16,902.46 | $28,609.55 | $43,865.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,751.41 / $26,330.07 / $32,969.83
| Facility | | $18,751.41 | $26,330.07 | $32,969.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $25,912.57 / $37,327.62
| Facility | | $3,775.00 | $25,912.57 | $37,327.62 |