- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,276.30 / $48,146.20 / $58,135.40
| Facility | | $25,276.30 | $48,146.20 | $58,135.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $43,475.15 / $64,542.74
| Facility | | $12,397.00 | $43,475.15 | $64,542.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,319.04 / $37,887.90 / $43,885.22
| Facility | | $34,319.04 | $37,887.90 | $43,885.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,274.64 / $34,471.80 / $45,962.40
| Facility | | $23,274.64 | $34,471.80 | $45,962.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,011.28 / $41,601.44 / $61,755.03
| Facility | | $22,011.28 | $41,601.44 | $61,755.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,013.02 / $35,537.29 / $49,387.87
| Facility | | $25,013.02 | $35,537.29 | $49,387.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,146.00 / $44,939.15 / $54,798.91
| Facility | | $26,146.00 | $44,939.15 | $54,798.91 |