- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,467.50 / $50,415.30 / $60,875.20
| Facility | | $26,467.50 | $50,415.30 | $60,875.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $45,524.10 / $80,600.91
| Facility | | $6,916.00 | $45,524.10 | $80,600.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,732.00 / $40,957.94 / $47,693.40
| Facility | | $33,732.00 | $40,957.94 | $47,693.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,027.52 / $34,698.69 / $50,642.26
| Facility | | $22,027.52 | $34,698.69 | $50,642.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,675.99 / $45,621.63 / $70,718.50
| Facility | | $28,675.99 | $45,621.63 | $70,718.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,945.34 / $42,739.08 / $49,885.69
| Facility | | $31,945.34 | $42,739.08 | $49,885.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $44,480.22 / $59,795.38
| Facility | | $3,775.00 | $44,480.22 | $59,795.38 |