- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,263.70 / $51,932.00 / $62,706.60
| Facility | | $27,263.70 | $51,932.00 | $62,706.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $46,893.65 / $78,892.92
| Facility | | $12,397.00 | $46,893.65 | $78,892.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,894.01 / $42,797.22 / $48,160.74
| Facility | | $36,894.01 | $42,797.22 | $48,160.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,832.03 / $37,503.69 / $59,999.40
| Facility | | $25,832.03 | $37,503.69 | $59,999.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,644.60 / $46,729.88 / $70,437.80
| Facility | | $22,644.60 | $46,729.88 | $70,437.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,917.86 / $40,066.68 / $55,294.80
| Facility | | $29,917.86 | $40,066.68 | $55,294.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $47,127.03 / $65,923.75
| Facility | | $3,775.00 | $47,127.03 | $65,923.75 |