- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,378.80 / $44,531.80 / $53,771.10
| Facility | | $23,378.80 | $44,531.80 | $53,771.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $40,211.44 / $69,023.42
| Facility | | $12,397.00 | $40,211.44 | $69,023.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,066.20 / $36,936.00 / $42,806.98
| Facility | | $32,066.20 | $36,936.00 | $42,806.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,039.39 / $34,189.32 / $44,655.60
| Facility | | $24,039.39 | $34,189.32 | $44,655.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,181.08 / $41,915.72 / $62,985.60
| Facility | | $24,181.08 | $41,915.72 | $62,985.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,897.53 / $37,768.57 / $48,147.05
| Facility | | $26,897.53 | $37,768.57 | $48,147.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $39,289.39 / $56,529.82
| Facility | | $3,775.00 | $39,289.39 | $56,529.82 |