- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,462.50 / $42,786.60 / $51,663.80
| Facility | | $22,462.50 | $42,786.60 | $51,663.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $38,635.50 / $70,152.06
| Facility | | $12,397.00 | $38,635.50 | $70,152.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,053.80 / $35,611.08 / $40,961.33
| Facility | | $29,053.80 | $35,611.08 | $40,961.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,960.65 / $29,974.40 / $44,077.15
| Facility | | $19,960.65 | $29,974.40 | $44,077.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,980.14 / $42,346.64 / $66,318.28
| Facility | | $24,980.14 | $42,346.64 | $66,318.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,804.05 / $38,536.31 / $50,762.44
| Facility | | $27,804.05 | $38,536.31 | $50,762.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $37,749.58 / $54,314.33
| Facility | | $3,775.00 | $37,749.58 | $54,314.33 |