- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,122.50 / $40,234.10 / $48,581.80
| Facility | | $21,122.50 | $40,234.10 | $48,581.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $36,330.69 / $51,022.44
| Facility | | $12,397.00 | $36,330.69 | $51,022.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,331.91 / $33,142.72 / $38,344.07
| Facility | | $28,331.91 | $33,142.72 | $38,344.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,161.65 / $26,690.40 / $35,587.19
| Facility | | $19,161.65 | $26,690.40 | $35,587.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,436.83 / $34,521.18 / $50,525.02
| Facility | | $17,436.83 | $34,521.18 | $50,525.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,348.79 / $27,985.12 / $41,673.71
| Facility | | $19,348.79 | $27,985.12 | $41,673.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,849.00 / $37,554.12 / $45,793.58
| Facility | | $21,849.00 | $37,554.12 | $45,793.58 |