- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,357.50 / $36,872.19 / $44,522.30
| Facility | | $19,357.50 | $36,872.19 | $44,522.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,453.00 / $33,294.90 / $56,053.08
| Facility | | $4,453.00 | $33,294.90 | $56,053.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,005.80 / $30,769.78 / $36,445.44
| Facility | | $23,005.80 | $30,769.78 | $36,445.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,398.67 / $25,192.30 / $33,697.49
| Facility | | $14,398.67 | $25,192.30 | $33,697.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,138.12 / $32,155.64 / $49,725.74
| Facility | | $19,138.12 | $32,155.64 | $49,725.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,499.00 / $3,280.00 / $29,461.45
| Facility | | $1,499.00 | $3,280.00 | $29,461.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,723.00 / $27,874.80 / $41,536.55
| Facility | | $1,723.00 | $27,874.80 | $41,536.55 |