- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,295.00 / $36,753.10 / $44,378.50
| Facility | | $19,295.00 | $36,753.10 | $44,378.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $33,187.40 / $56,966.56
| Facility | | $6,916.00 | $33,187.40 | $56,966.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,826.76 / $30,685.74 / $35,950.36
| Facility | | $26,826.76 | $30,685.74 | $35,950.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,761.81 / $25,901.20 / $34,640.08
| Facility | | $16,761.81 | $25,901.20 | $34,640.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,670.00 / $33,210.10 / $51,116.69
| Facility | | $19,670.00 | $33,210.10 | $51,116.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,851.11 / $30,207.15 / $38,470.58
| Facility | | $21,851.11 | $30,207.15 | $38,470.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $30,260.73 / $43,591.26
| Facility | | $3,775.00 | $30,260.73 | $43,591.26 |