- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,118.80 / $40,227.00 / $48,573.10
| Facility | | $21,118.80 | $40,227.00 | $48,573.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $36,324.25 / $61,480.30
| Facility | | $12,397.00 | $36,324.25 | $61,480.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,224.20 / $33,137.69 / $38,835.50
| Facility | | $26,224.20 | $33,137.69 | $38,835.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,660.25 / $27,801.80 / $36,960.17
| Facility | | $18,660.25 | $27,801.80 | $36,960.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,982.31 / $35,529.90 / $54,540.32
| Facility | | $20,982.31 | $35,529.90 | $54,540.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,314.63 / $32,313.99 / $40,830.87
| Facility | | $23,314.63 | $32,313.99 | $40,830.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $35,491.33 / $51,065.14
| Facility | | $3,775.00 | $35,491.33 | $51,065.14 |