- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,717.50 / $64,225.10 / $77,550.30
| Facility | | $33,717.50 | $64,225.10 | $77,550.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $57,994.10 / $96,077.88
| Facility | | $12,397.00 | $57,994.10 | $96,077.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,235.92 / $51,795.04 / $59,558.96
| Facility | | $45,235.92 | $51,795.04 | $59,558.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,820.46 / $43,718.40 / $52,596.23
| Facility | | $28,820.46 | $43,718.40 | $52,596.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,682.52 / $56,778.05 / $85,232.49
| Facility | | $32,682.52 | $56,778.05 | $85,232.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,434.76 / $51,160.42 / $63,542.22
| Facility | | $36,434.76 | $51,160.42 | $63,542.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $56,664.28 / $81,528.92
| Facility | | $3,775.00 | $56,664.28 | $81,528.92 |