- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,358.80 / $50,208.10 / $60,625.10
| Facility | | $26,358.80 | $50,208.10 | $60,625.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $45,337.05 / $77,563.66
| Facility | | $12,397.00 | $45,337.05 | $77,563.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,889.54 / $41,577.86 / $47,521.32
| Facility | | $35,889.54 | $41,577.86 | $47,521.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,250.99 / $37,806.44 / $50,408.60
| Facility | | $26,250.99 | $37,806.44 | $50,408.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,420.46 / $45,489.20 / $68,914.80
| Facility | | $26,420.46 | $45,489.20 | $68,914.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,413.78 / $40,716.50 / $52,679.41
| Facility | | $29,413.78 | $40,716.50 | $52,679.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $44,297.46 / $63,735.46
| Facility | | $3,775.00 | $44,297.46 | $63,735.46 |