- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,512.50 / $35,262.60 / $42,578.80
| Facility | | $18,512.50 | $35,262.60 | $42,578.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $31,841.50 / $54,656.31
| Facility | | $6,916.00 | $31,841.50 | $54,656.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,822.78 / $29,633.68 / $34,712.44
| Facility | | $25,822.78 | $29,633.68 | $34,712.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,008.14 / $25,035.90 / $33,154.44
| Facility | | $17,008.14 | $25,035.90 | $33,154.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,834.89 / $31,816.96 / $48,924.39
| Facility | | $18,834.89 | $31,816.96 | $48,924.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,913.96 / $28,986.67 / $36,818.62
| Facility | | $20,913.96 | $28,986.67 | $36,818.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $29,033.52 / $41,823.44
| Facility | | $3,775.00 | $29,033.52 | $41,823.44 |