- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,838.80 / $39,693.60 / $47,929.10
| Facility | | $20,838.80 | $39,693.60 | $47,929.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $35,842.65 / $61,719.90
| Facility | | $6,916.00 | $35,842.65 | $61,719.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,807.38 / $32,761.24 / $38,392.58
| Facility | | $28,807.38 | $32,761.24 | $38,392.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,956.63 / $27,948.00 / $38,779.15
| Facility | | $19,956.63 | $27,948.00 | $38,779.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,997.62 / $36,748.47 / $54,417.00
| Facility | | $21,997.62 | $36,748.47 | $54,417.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,462.05 / $32,727.32 / $41,707.62
| Facility | | $24,462.05 | $32,727.32 | $41,707.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $32,681.83 / $47,078.90
| Facility | | $3,775.00 | $32,681.83 | $47,078.90 |