- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,796.30 / $43,422.30 / $52,431.40
| Facility | | $22,796.30 | $43,422.30 | $52,431.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $39,209.55 / $67,303.64
| Facility | | $6,916.00 | $39,209.55 | $67,303.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,318.86 / $35,470.24 / $41,885.46
| Facility | | $31,318.86 | $35,470.24 | $41,885.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,996.37 / $31,498.20 / $41,727.40
| Facility | | $20,996.37 | $31,498.20 | $41,727.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,017.88 / $38,995.74 / $59,895.65
| Facility | | $23,017.88 | $38,995.74 | $59,895.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,603.90 / $35,486.91 / $45,301.32
| Facility | | $25,603.90 | $35,486.91 | $45,301.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $35,751.81 / $51,501.29
| Facility | | $3,775.00 | $35,751.81 | $51,501.29 |