- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,109.30 / $44,833.70 / $78,952.20
| Facility | | $28,109.30 | $44,833.70 | $78,952.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,932.65 / $43,600.41 / $61,820.58
| Facility | | $8,932.65 | $43,600.41 | $61,820.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,991.60 / $34,860.60 / $58,399.65
| Facility | | $25,991.60 | $34,860.60 | $58,399.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,068.13 / $34,574.10 / $42,283.35
| Facility | | $21,068.13 | $34,574.10 | $42,283.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,137.66 / $37,419.80 / $61,388.61
| Facility | | $7,137.66 | $37,419.80 | $61,388.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,851.66 / $43,666.00 / $59,866.81
| Facility | | $31,851.66 | $43,666.00 | $59,866.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $28,082.15 / $73,154.77
| Facility | | $3,775.00 | $28,082.15 | $73,154.77 |