- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,021.30 / $43,850.90 / $52,948.90
| Facility | | $23,021.30 | $43,850.90 | $52,948.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $39,596.55 / $66,437.50
| Facility | | $6,916.00 | $39,596.55 | $66,437.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,607.56 / $35,806.58 / $42,241.42
| Facility | | $31,607.56 | $35,806.58 | $42,241.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,514.03 / $31,045.40 / $40,176.40
| Facility | | $20,514.03 | $31,045.40 | $40,176.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,652.53 / $39,261.81 / $58,937.95
| Facility | | $22,652.53 | $39,261.81 | $58,937.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,194.50 / $35,377.24 / $43,017.80
| Facility | | $25,194.50 | $35,377.24 | $43,017.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $36,104.69 / $52,009.61
| Facility | | $3,775.00 | $36,104.69 | $52,009.61 |