- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,137.50 / $47,881.90 / $57,816.20
| Facility | | $25,137.50 | $47,881.90 | $57,816.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $43,236.50 / $73,043.42
| Facility | | $6,916.00 | $43,236.50 | $73,043.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,704.38 / $39,656.40 / $45,242.14
| Facility | | $32,704.38 | $39,656.40 | $45,242.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,268.84 / $32,621.30 / $43,911.59
| Facility | | $20,268.84 | $32,621.30 | $43,911.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,888.18 / $42,463.60 / $64,798.19
| Facility | | $24,888.18 | $42,463.60 | $64,798.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,699.61 / $38,357.44 / $48,840.52
| Facility | | $27,699.61 | $38,357.44 | $48,840.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $39,423.64 / $56,790.64
| Facility | | $3,775.00 | $39,423.64 | $56,790.64 |