- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,700.10 / $53,750.90 / $94,655.40
| Facility | | $33,700.10 | $53,750.90 | $94,655.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,990.67 / $52,678.16 / $74,985.21
| Facility | | $14,990.67 | $52,678.16 | $74,985.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,161.20 / $41,794.19 / $70,015.05
| Facility | | $31,161.20 | $41,794.19 | $70,015.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,020.33 / $37,511.25 / $47,157.00
| Facility | | $26,020.33 | $37,511.25 | $47,157.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,715.50 / $44,958.46 / $73,712.47
| Facility | | $11,715.50 | $44,958.46 | $73,712.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,245.93 / $52,432.02 / $71,885.17
| Facility | | $38,245.93 | $52,432.02 | $71,885.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $33,667.55 / $91,990.64
| Facility | | $3,775.00 | $33,667.55 | $91,990.64 |