- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,898.80 / $34,093.50 / $41,167.10
| Facility | | $17,898.80 | $34,093.50 | $41,167.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $30,785.85 / $51,969.82
| Facility | | $6,916.00 | $30,785.85 | $51,969.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,196.79 / $28,675.92 / $33,741.48
| Facility | | $24,196.79 | $28,675.92 | $33,741.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,792.74 / $25,050.81 / $33,543.40
| Facility | | $16,792.74 | $25,050.81 | $33,543.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,756.20 / $30,572.62 / $46,103.40
| Facility | | $17,756.20 | $30,572.62 | $46,103.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,708.05 / $27,673.36 / $33,985.28
| Facility | | $19,708.05 | $27,673.36 | $33,985.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $28,070.97 / $40,436.86
| Facility | | $3,775.00 | $28,070.97 | $40,436.86 |