- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,311.30 / $44,403.30 / $53,615.90
| Facility | | $23,311.30 | $44,403.30 | $53,615.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $40,095.35 / $68,163.34
| Facility | | $6,916.00 | $40,095.35 | $68,163.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,979.58 / $36,240.04 / $42,304.02
| Facility | | $31,979.58 | $36,240.04 | $42,304.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,262.91 / $31,643.55 / $41,036.60
| Facility | | $19,262.91 | $31,643.55 | $41,036.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,235.36 / $39,369.01 / $60,468.97
| Facility | | $23,235.36 | $39,369.01 | $60,468.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,848.98 / $35,788.67 / $44,209.10
| Facility | | $25,848.98 | $35,788.67 | $44,209.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $36,559.50 / $52,664.78
| Facility | | $3,775.00 | $36,559.50 | $52,664.78 |