- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,384.80 / $52,486.80 / $71,675.39
| Facility | | $29,384.80 | $52,486.80 | $71,675.39 |
- 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
- $28,097.42 / $50,082.24 / $71,424.98
| Facility | | $28,097.42 | $50,082.24 | $71,424.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,900.97 / $52,900.97 / $64,236.89
| Facility | | $52,900.97 | $52,900.97 | $64,236.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72,337.03 / $88,697.97 / $112,981.91
| Facility | | $72,337.03 | $88,697.97 | $112,981.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,951.40 / $51,366.40 / $70,930.60
| Facility | | $28,951.40 | $51,366.40 | $70,930.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,437.64 / $46,968.15 / $66,933.63
| Facility | | $26,437.64 | $46,968.15 | $66,933.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,931.57 / $44,204.00 / $73,402.59
| Facility | | $14,931.57 | $44,204.00 | $73,402.59 |