- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,695.00 / $54,658.20 / $65,998.50
| Facility | | $28,695.00 | $54,658.20 | $65,998.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $49,355.40 / $84,719.12
| Facility | | $12,397.00 | $49,355.40 | $84,719.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,848.54 / $45,110.94 / $51,217.26
| Facility | | $38,848.54 | $45,110.94 | $51,217.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,119.70 / $41,899.90 / $54,223.40
| Facility | | $30,119.70 | $41,899.90 | $54,223.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,579.45 / $52,129.10 / $82,237.67
| Facility | | $29,579.45 | $52,129.10 | $82,237.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,957.69 / $46,278.04 / $62,863.60
| Facility | | $32,957.69 | $46,278.04 | $62,863.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $48,223.67 / $69,384.50
| Facility | | $3,775.00 | $48,223.67 | $69,384.50 |