- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,066.30 / $36,317.40 / $43,852.40
| Facility | | $19,066.30 | $36,317.40 | $43,852.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $32,793.94 / $56,291.20
| Facility | | $6,916.00 | $32,793.94 | $56,291.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,533.26 / $30,546.40 / $34,935.50
| Facility | | $26,533.26 | $30,546.40 | $34,935.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,451.64 / $26,266.70 / $35,576.92
| Facility | | $19,451.64 | $26,266.70 | $35,576.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,405.31 / $33,591.60 / $50,709.24
| Facility | | $19,405.31 | $33,591.60 | $50,709.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,555.90 / $29,876.40 / $39,260.53
| Facility | | $21,555.90 | $29,876.40 | $39,260.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $29,901.98 / $43,074.47
| Facility | | $3,775.00 | $29,901.98 | $43,074.47 |