- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,002.50 / $36,196.00 / $43,705.80
| Facility | | $19,002.50 | $36,196.00 | $43,705.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $32,684.30 / $56,086.13
| Facility | | $12,397.00 | $32,684.30 | $56,086.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,451.48 / $30,292.50 / $34,841.26
| Facility | | $26,451.48 | $30,292.50 | $34,841.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,192.27 / $27,034.98 / $36,600.51
| Facility | | $18,192.27 | $27,034.98 | $36,600.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,149.30 / $32,482.50 / $49,410.00
| Facility | | $19,149.30 | $32,482.50 | $49,410.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,269.05 / $28,455.46 / $37,769.68
| Facility | | $21,269.05 | $28,455.46 | $37,769.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $31,934.84 / $45,948.05
| Facility | | $3,775.00 | $31,934.84 | $45,948.05 |