- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,938.50 / $42,453.30 / $86,276.30
| Facility | | $32,938.50 | $42,453.30 | $86,276.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,412.68 / $45,852.63 / $48,444.80
| Facility | | $45,412.68 | $45,852.63 | $48,444.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,069.28 / $40,199.51 / $45,958.44
| Facility | | $32,069.28 | $40,199.51 | $45,958.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,291.98 / $46,539.56 / $60,526.71
| Facility | | $26,291.98 | $46,539.56 | $60,526.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,456.15 / $52,730.52 / $55,711.52
| Facility | | $21,456.15 | $52,730.52 | $55,711.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,518.00 / $42,287.80 / $59,451.13
| Facility | | $1,518.00 | $42,287.80 | $59,451.13 |