- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,157.50 / $36,491.19 / $44,062.30
| Facility | | $19,157.50 | $36,491.19 | $44,062.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $32,950.90 / $55,083.67
| Facility | | $6,916.00 | $32,950.90 | $55,083.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,399.26 / $30,500.90 / $35,070.42
| Facility | | $25,399.26 | $30,500.90 | $35,070.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,368.83 / $25,360.60 / $33,114.71
| Facility | | $16,368.83 | $25,360.60 | $33,114.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,812.53 / $31,821.20 / $48,865.76
| Facility | | $18,812.53 | $31,821.20 | $48,865.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,592.61 / $17,592.61 / $28,951.93
| Facility | | $17,592.61 | $17,592.61 | $28,951.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $30,045.09 / $43,280.62
| Facility | | $3,775.00 | $30,045.09 | $43,280.62 |