- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,082.50 / $45,872.30 / $55,389.80
| Facility | | $24,082.50 | $45,872.30 | $55,389.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $41,421.90 / $64,304.06
| Facility | | $12,397.00 | $41,421.90 | $64,304.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,066.00 / $36,761.19 / $41,813.69
| Facility | | $24,066.00 | $36,761.19 | $41,813.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,980.64 / $27,932.70 / $38,657.74
| Facility | | $16,980.64 | $27,932.70 | $38,657.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,930.52 / $37,953.53 / $58,333.55
| Facility | | $21,930.52 | $37,953.53 | $58,333.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,385.46 / $33,345.90 / $47,919.19
| Facility | | $24,385.46 | $33,345.90 | $47,919.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $40,472.08 / $58,231.49
| Facility | | $3,775.00 | $40,472.08 | $58,231.49 |