- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,903.50 / $44,482.40 / $67,742.50
| Facility | | $24,903.50 | $44,482.40 | $67,742.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,459.92 / $8,459.92 / $8,639.91
| Facility | | $8,459.92 | $8,459.92 | $8,639.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,812.44 / $42,444.48 / $61,204.40
| Facility | | $23,812.44 | $42,444.48 | $61,204.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,833.34 / $44,833.34 / $54,440.49
| Facility | | $44,833.34 | $44,833.34 | $54,440.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,054.62 / $55,025.45 / $76,048.92
| Facility | | $33,054.62 | $55,025.45 | $76,048.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,536.20 / $44,855.10 / $67,742.50
| Facility | | $24,536.20 | $44,855.10 | $67,742.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,405.79 / $39,805.30 / $60,010.54
| Facility | | $22,405.79 | $39,805.30 | $60,010.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,654.44 / $38,289.00 / $59,705.24
| Facility | | $12,654.44 | $38,289.00 | $59,705.24 |