- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,576.30 / $39,193.60 / $47,325.40
| Facility | | $20,576.30 | $39,193.60 | $47,325.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $35,391.15 / $60,749.32
| Facility | | $6,916.00 | $35,391.15 | $60,749.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,470.60 / $32,408.32 / $38,373.42
| Facility | | $28,470.60 | $32,408.32 | $38,373.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,234.05 / $28,131.21 / $36,689.40
| Facility | | $18,234.05 | $28,131.21 | $36,689.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,764.82 / $35,010.81 / $53,986.55
| Facility | | $20,764.82 | $35,010.81 | $53,986.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,077.90 / $31,816.23 / $40,709.51
| Facility | | $23,077.90 | $31,816.23 | $40,709.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $32,270.14 / $46,485.86
| Facility | | $3,775.00 | $32,270.14 | $46,485.86 |