- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,728.80 / $35,674.50 / $43,076.10
| Facility | | $18,728.80 | $35,674.50 | $43,076.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $32,213.45 / $54,195.05
| Facility | | $6,916.00 | $32,213.45 | $54,195.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,100.24 / $29,924.44 / $34,436.50
| Facility | | $26,100.24 | $29,924.44 | $34,436.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,197.18 / $25,122.60 / $32,580.49
| Facility | | $17,197.18 | $25,122.60 | $32,580.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,510.56 / $33,496.33 / $51,854.27
| Facility | | $18,510.56 | $33,496.33 | $51,854.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,551.91 / $28,858.27 / $41,430.24
| Facility | | $20,551.91 | $28,858.27 | $41,430.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,373.00 / $33,298.22 / $40,603.93
| Facility | | $19,373.00 | $33,298.22 | $40,603.93 |