- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,881.30 / $56,917.80 / $68,726.89
| Facility | | $29,881.30 | $56,917.80 | $68,726.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $51,395.75 / $83,530.66
| Facility | | $12,397.00 | $51,395.75 | $83,530.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,103.57 / $46,060.68 / $51,876.38
| Facility | | $40,103.57 | $46,060.68 | $51,876.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,521.95 / $39,321.44 / $51,473.40
| Facility | | $25,521.95 | $39,321.44 | $51,473.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,436.15 / $48,832.85 / $74,101.61
| Facility | | $28,436.15 | $48,832.85 | $74,101.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,676.59 / $44,035.43 / $56,562.87
| Facility | | $31,676.59 | $44,035.43 | $56,562.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $50,217.23 / $72,252.86
| Facility | | $3,775.00 | $50,217.23 | $72,252.86 |