- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,281.20 / $51,965.30 / $62,746.90
| Facility | | $27,281.20 | $51,965.30 | $62,746.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $46,923.75 / $81,250.89
| Facility | | $12,397.00 | $46,923.75 | $81,250.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,915.96 / $44,247.74 / $48,188.44
| Facility | | $36,915.96 | $44,247.74 | $48,188.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,711.62 / $41,855.21 / $55,479.60
| Facility | | $28,711.62 | $41,855.21 | $55,479.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,909.62 / $50,299.05 / $78,398.28
| Facility | | $28,909.62 | $50,299.05 | $78,398.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,202.96 / $44,633.18 / $59,928.71
| Facility | | $32,202.96 | $44,633.18 | $59,928.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $45,847.78 / $65,966.06
| Facility | | $3,775.00 | $45,847.78 | $65,966.06 |