- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,483.80 / $52,351.00 / $63,212.60
| Facility | | $27,483.80 | $52,351.00 | $63,212.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $47,272.05 / $81,143.02
| Facility | | $12,397.00 | $47,272.05 | $81,143.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,170.35 / $43,129.94 / $47,727.32
| Facility | | $37,170.35 | $43,129.94 | $47,727.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,706.62 / $39,129.75 / $51,693.40
| Facility | | $26,706.62 | $39,129.75 | $51,693.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,237.31 / $47,892.64 / $74,728.45
| Facility | | $28,237.31 | $47,892.64 | $74,728.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,445.44 / $43,141.74 / $57,907.72
| Facility | | $31,445.44 | $43,141.74 | $57,907.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $46,188.09 / $66,455.71
| Facility | | $3,775.00 | $46,188.09 | $66,455.71 |