- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,388.80 / $55,979.70 / $67,594.10
| Facility | | $29,388.80 | $55,979.70 | $67,594.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $50,548.65 / $82,862.35
| Facility | | $12,397.00 | $50,548.65 | $82,862.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,212.40 / $45,324.52 / $51,527.28
| Facility | | $36,212.40 | $45,324.52 | $51,527.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,049.91 / $37,304.80 / $49,814.45
| Facility | | $25,049.91 | $37,304.80 | $49,814.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,212.46 / $48,968.22 / $76,974.11
| Facility | | $28,212.46 | $48,968.22 | $76,974.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,423.16 / $45,447.95 / $55,609.35
| Facility | | $31,423.16 | $45,447.95 | $55,609.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $49,389.56 / $71,062.00
| Facility | | $3,775.00 | $49,389.56 | $71,062.00 |