- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,297.50 / $40,567.50 / $48,984.30
| Facility | | $21,297.50 | $40,567.50 | $48,984.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $36,631.69 / $58,858.49
| Facility | | $12,397.00 | $36,631.69 | $58,858.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,250.20 / $33,042.90 / $36,980.80
| Facility | | $27,250.20 | $33,042.90 | $36,980.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,549.13 / $28,050.84 / $36,828.00
| Facility | | $18,549.13 | $28,050.84 | $36,828.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,087.57 / $34,782.93 / $54,953.40
| Facility | | $20,087.57 | $34,782.93 | $54,953.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,320.38 / $31,341.50 / $43,072.29
| Facility | | $22,320.38 | $31,341.50 | $43,072.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $35,791.73 / $51,497.36
| Facility | | $3,775.00 | $35,791.73 | $51,497.36 |