- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,432.50 / $38,919.80 / $46,994.80
| Facility | | $20,432.50 | $38,919.80 | $46,994.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $35,143.90 / $59,423.98
| Facility | | $6,916.00 | $35,143.90 | $59,423.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,409.80 / $32,215.06 / $36,955.40
| Facility | | $24,409.80 | $32,215.06 | $36,955.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,808.58 / $27,036.90 / $36,049.19
| Facility | | $15,808.58 | $27,036.90 | $36,049.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,278.93 / $33,440.06 / $50,065.75
| Facility | | $20,278.93 | $33,440.06 | $50,065.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,534.83 / $28,903.63 / $37,499.71
| Facility | | $22,534.83 | $28,903.63 | $37,499.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $32,044.70 / $46,161.10
| Facility | | $3,775.00 | $32,044.70 | $46,161.10 |