- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,277.50 / $55,767.80 / $67,338.30
| Facility | | $29,277.50 | $55,767.80 | $67,338.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $50,357.30 / $78,041.02
| Facility | | $12,397.00 | $50,357.30 | $78,041.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,501.92 / $43,657.20 / $51,362.78
| Facility | | $39,501.92 | $43,657.20 | $51,362.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,828.37 / $36,402.10 / $47,108.60
| Facility | | $22,828.37 | $36,402.10 | $47,108.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,578.27 / $46,895.10 / $70,031.78
| Facility | | $26,578.27 | $46,895.10 | $70,031.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,594.80 / $40,217.53 / $55,307.19
| Facility | | $29,594.80 | $40,217.53 | $55,307.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $49,202.60 / $70,793.00
| Facility | | $3,775.00 | $49,202.60 | $70,793.00 |