- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,618.80 / $39,274.60 / $47,423.10
| Facility | | $20,618.80 | $39,274.60 | $47,423.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $35,464.25 / $59,335.85
| Facility | | $12,397.00 | $35,464.25 | $59,335.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,525.14 / $32,822.82 / $38,044.54
| Facility | | $28,525.14 | $32,822.82 | $38,044.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,700.00 / $24,842.90 / $59,999.40
| Facility | | $10,700.00 | $24,842.90 | $59,999.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,391.88 / $35,105.94 / $56,773.03
| Facility | | $17,391.88 | $35,105.94 | $56,773.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,501.41 / $31,595.69 / $39,998.71
| Facility | | $22,501.41 | $31,595.69 | $39,998.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,500.00 / $22,800.00 / $36,980.14
| Facility | | $7,500.00 | $22,800.00 | $36,980.14 |