- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,742.50 / $35,700.69 / $43,107.80
| Facility | | $18,742.50 | $35,700.69 | $43,107.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $32,237.10 / $55,335.36
| Facility | | $12,397.00 | $32,237.10 | $55,335.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,891.23 / $29,942.90 / $33,126.10
| Facility | | $24,891.23 | $29,942.90 | $33,126.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,390.81 / $27,272.85 / $36,363.80
| Facility | | $17,390.81 | $27,272.85 | $36,363.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,924.37 / $32,045.98 / $49,978.65
| Facility | | $18,924.37 | $32,045.98 | $49,978.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,017.00 / $28,853.35 / $40,102.73
| Facility | | $21,017.00 | $28,853.35 | $40,102.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $31,497.90 / $45,319.37
| Facility | | $3,775.00 | $31,497.90 | $45,319.37 |