- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,397.50 / $36,948.40 / $44,614.30
| Facility | | $19,397.50 | $36,948.40 | $44,614.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $33,363.69 / $55,226.88
| Facility | | $12,397.00 | $33,363.69 | $55,226.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,934.41 / $30,666.56 / $34,094.46
| Facility | | $26,934.41 | $30,666.56 | $34,094.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,904.09 / $26,100.22 / $34,713.80
| Facility | | $17,904.09 | $26,100.22 | $34,713.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,858.50 / $32,636.80 / $49,593.40
| Facility | | $18,858.50 | $32,636.80 | $49,593.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,943.20 / $28,630.94 / $39,107.08
| Facility | | $20,943.20 | $28,630.94 | $39,107.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,065.00 / $34,487.19 / $42,053.78
| Facility | | $20,065.00 | $34,487.19 | $42,053.78 |