- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,546.30 / $42,946.10 / $51,856.40
| Facility | | $22,546.30 | $42,946.10 | $51,856.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $38,779.55 / $66,565.55
| Facility | | $6,916.00 | $38,779.55 | $66,565.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,540.52 / $35,096.51 / $41,489.96
| Facility | | $29,540.52 | $35,096.51 | $41,489.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,791.08 / $31,453.74 / $41,626.83
| Facility | | $19,791.08 | $31,453.74 | $41,626.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,601.97 / $38,807.44 / $61,426.68
| Facility | | $23,601.97 | $38,807.44 | $61,426.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,258.37 / $35,574.00 / $42,049.41
| Facility | | $26,258.37 | $35,574.00 | $42,049.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $35,359.73 / $50,936.49
| Facility | | $3,775.00 | $35,359.73 | $50,936.49 |