- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,536.30 / $60,070.30 / $72,533.39
| Facility | | $31,536.30 | $60,070.30 | $72,533.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $54,242.35 / $90,617.62
| Facility | | $12,397.00 | $54,242.35 | $90,617.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,516.51 / $48,534.54 / $54,737.02
| Facility | | $40,516.51 | $48,534.54 | $54,737.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,090.43 / $41,582.43 / $48,599.93
| Facility | | $27,090.43 | $41,582.43 | $48,599.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,834.59 / $52,337.90 / $80,850.96
| Facility | | $30,834.59 | $52,337.90 | $80,850.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,364.12 / $47,052.29 / $61,803.57
| Facility | | $34,364.12 | $47,052.29 | $61,803.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $52,998.56 / $76,254.64
| Facility | | $3,775.00 | $52,998.56 | $76,254.64 |