- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,915.00 / $36,029.30 / $43,504.50
| Facility | | $18,915.00 | $36,029.30 | $43,504.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $32,533.80 / $56,576.28
| Facility | | $6,916.00 | $32,533.80 | $56,576.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,674.40 / $30,174.84 / $35,349.22
| Facility | | $24,674.40 | $30,174.84 | $35,349.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,836.07 / $25,705.70 / $35,547.37
| Facility | | $15,836.07 | $25,705.70 | $35,547.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,178.25 / $33,301.80 / $52,455.52
| Facility | | $20,178.25 | $33,301.80 | $52,455.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,423.43 / $30,500.48 / $38,014.87
| Facility | | $22,423.43 | $30,500.48 | $38,014.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $29,664.77 / $42,732.77
| Facility | | $3,775.00 | $29,664.77 | $42,732.77 |