- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,187.50 / $30,833.90 / $37,231.30
| Facility | | $16,187.50 | $30,833.90 | $37,231.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $27,842.50 / $49,939.47
| Facility | | $6,916.00 | $27,842.50 | $49,939.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,808.86 / $26,121.58 / $31,034.26
| Facility | | $22,808.86 | $26,121.58 | $31,034.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,577.14 / $22,143.00 / $31,377.41
| Facility | | $15,577.14 | $22,143.00 | $31,377.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,832.00 / $29,460.94 / $45,670.55
| Facility | | $17,832.00 | $29,460.94 | $45,670.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,793.00 / $26,366.22 / $34,071.96
| Facility | | $19,793.00 | $26,366.22 | $34,071.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $25,387.18 / $36,570.80
| Facility | | $3,775.00 | $25,387.18 | $36,570.80 |