- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,392.50 / $38,843.60 / $46,902.80
| Facility | | $20,392.50 | $38,843.60 | $46,902.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $35,075.10 / $57,576.96
| Facility | | $6,916.00 | $35,075.10 | $57,576.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,234.86 / $31,971.52 / $37,686.60
| Facility | | $28,234.86 | $31,971.52 | $37,686.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,561.73 / $27,058.91 / $35,675.19
| Facility | | $18,561.73 | $27,058.91 | $35,675.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,653.84 / $34,104.00 / $51,671.52
| Facility | | $19,653.84 | $34,104.00 | $51,671.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,834.40 / $30,262.40 / $39,498.41
| Facility | | $21,834.40 | $30,262.40 | $39,498.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $31,981.97 / $46,070.74
| Facility | | $3,775.00 | $31,981.97 | $46,070.74 |