- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,680.00 / $39,391.30 / $47,564.00
| Facility | | $20,680.00 | $39,391.30 | $47,564.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $35,569.60 / $61,055.63
| Facility | | $6,916.00 | $35,569.60 | $61,055.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,384.34 / $32,547.82 / $38,141.42
| Facility | | $27,384.34 | $32,547.82 | $38,141.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,195.09 / $27,380.20 / $37,105.87
| Facility | | $18,195.09 | $27,380.20 | $37,105.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,058.13 / $35,073.28 / $54,755.32
| Facility | | $21,058.13 | $35,073.28 | $54,755.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,406.53 / $31,996.10 / $39,689.12
| Facility | | $23,406.53 | $31,996.10 | $39,689.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $32,432.86 / $46,720.26
| Facility | | $3,775.00 | $32,432.86 | $46,720.26 |