- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,398.80 / $54,093.90 / $65,317.10
| Facility | | $28,398.80 | $54,093.90 | $65,317.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $48,845.85 / $83,207.52
| Facility | | $6,916.00 | $48,845.85 | $83,207.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,642.60 / $44,378.30 / $50,063.62
| Facility | | $36,642.60 | $44,378.30 | $50,063.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,471.12 / $38,864.87 / $50,857.40
| Facility | | $23,471.12 | $38,864.87 | $50,857.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,328.04 / $48,095.10 / $75,676.67
| Facility | | $28,328.04 | $48,095.10 | $75,676.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,554.05 / $43,524.12 / $57,848.28
| Facility | | $31,554.05 | $43,524.12 | $57,848.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $44,538.33 / $64,158.46
| Facility | | $3,775.00 | $44,538.33 | $64,158.46 |