- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,425.00 / $40,810.30 / $49,277.50
| Facility | | $21,425.00 | $40,810.30 | $49,277.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $36,851.00 / $61,256.30
| Facility | | $12,397.00 | $36,851.00 | $61,256.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,481.26 / $33,549.42 / $37,202.04
| Facility | | $29,481.26 | $33,549.42 | $37,202.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,850.45 / $27,961.92 / $36,825.51
| Facility | | $18,850.45 | $27,961.92 | $36,825.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,899.06 / $36,199.94 / $54,341.62
| Facility | | $20,899.06 | $36,199.94 | $54,341.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,229.69 / $31,314.08 / $41,365.83
| Facility | | $23,229.69 | $31,314.08 | $41,365.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $36,006.00 / $51,805.65
| Facility | | $3,775.00 | $36,006.00 | $51,805.65 |