- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,885.00 / $43,591.30 / $52,635.50
| Facility | | $22,885.00 | $43,591.30 | $52,635.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $39,362.19 / $66,962.59
| Facility | | $6,916.00 | $39,362.19 | $66,962.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,065.80 / $35,602.90 / $41,629.74
| Facility | | $31,065.80 | $35,602.90 | $41,629.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,053.45 / $31,202.37 / $40,570.19
| Facility | | $20,053.45 | $31,202.37 | $40,570.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,828.99 / $38,683.64 / $59,403.77
| Facility | | $22,828.99 | $38,683.64 | $59,403.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,393.63 / $35,195.48 / $44,422.09
| Facility | | $25,393.63 | $35,195.48 | $44,422.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $35,891.00 / $51,701.79
| Facility | | $3,775.00 | $35,891.00 | $51,701.79 |