- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,545.00 / $39,134.10 / $47,253.50
| Facility | | $20,545.00 | $39,134.10 | $47,253.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $35,337.40 / $60,657.06
| Facility | | $12,397.00 | $35,337.40 | $60,657.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,430.48 / $32,366.30 / $37,927.82
| Facility | | $28,430.48 | $32,366.30 | $37,927.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,595.16 / $29,008.80 / $37,880.69
| Facility | | $19,595.16 | $29,008.80 | $37,880.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,494.33 / $35,976.40 / $55,898.70
| Facility | | $21,494.33 | $35,976.40 | $55,898.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,895.30 / $32,819.98 / $42,014.74
| Facility | | $23,895.30 | $32,819.98 | $42,014.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $34,527.11 / $49,677.81
| Facility | | $3,775.00 | $34,527.11 | $49,677.81 |