- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,352.50 / $31,148.20 / $37,610.80
| Facility | | $16,352.50 | $31,148.20 | $37,610.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $28,126.30 / $46,660.10
| Facility | | $6,916.00 | $28,126.30 | $46,660.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,973.19 / $25,909.57 / $30,923.44
| Facility | | $21,973.19 | $25,909.57 | $30,923.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,437.15 / $22,045.65 / $29,394.20
| Facility | | $14,437.15 | $22,045.65 | $29,394.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,959.24 / $26,872.10 / $40,622.10
| Facility | | $15,959.24 | $26,872.10 | $40,622.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,694.50 / $23,673.14 / $30,168.68
| Facility | | $17,694.50 | $23,673.14 | $30,168.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $25,645.95 / $36,943.57
| Facility | | $3,775.00 | $25,645.95 | $36,943.57 |