- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,536.30 / $35,307.80 / $42,633.40
| Facility | | $18,536.30 | $35,307.80 | $42,633.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $31,882.35 / $53,956.37
| Facility | | $6,916.00 | $31,882.35 | $53,956.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,509.20 / $29,665.64 / $34,750.04
| Facility | | $25,509.20 | $29,665.64 | $34,750.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,614.00 / $24,157.00 / $32,437.01
| Facility | | $16,614.00 | $24,157.00 | $32,437.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,428.52 / $31,885.98 / $49,764.70
| Facility | | $18,428.52 | $31,885.98 | $49,764.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,461.40 / $29,382.65 / $35,585.23
| Facility | | $20,461.40 | $29,382.65 | $35,585.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $29,070.77 / $41,877.10
| Facility | | $3,775.00 | $29,070.77 | $41,877.10 |