- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,423.80 / $42,712.80 / $51,574.60
| Facility | | $22,423.80 | $42,712.80 | $51,574.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $38,568.85 / $67,204.32
| Facility | | $12,397.00 | $38,568.85 | $67,204.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,840.92 / $35,627.12 / $41,296.16
| Facility | | $30,840.92 | $35,627.12 | $41,296.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,737.65 / $31,815.50 / $42,225.06
| Facility | | $21,737.65 | $31,815.50 | $42,225.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,954.90 / $39,605.50 / $62,309.46
| Facility | | $23,954.90 | $39,605.50 | $62,309.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,635.74 / $35,999.48 / $46,675.89
| Facility | | $26,635.74 | $35,999.48 | $46,675.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,195.00 / $39,867.62 / $48,614.69
| Facility | | $23,195.00 | $39,867.62 | $48,614.69 |