- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,733.80 / $50,922.40 / $61,487.60
| Facility | | $26,733.80 | $50,922.40 | $61,487.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $45,982.05 / $77,530.61
| Facility | | $6,916.00 | $45,982.05 | $77,530.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,888.58 / $41,355.90 / $48,114.58
| Facility | | $35,888.58 | $41,355.90 | $48,114.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,931.49 / $35,252.90 / $46,609.16
| Facility | | $22,931.49 | $35,252.90 | $46,609.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,409.29 / $44,498.80 / $68,778.86
| Facility | | $26,409.29 | $44,498.80 | $68,778.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,401.25 / $40,594.66 / $49,368.06
| Facility | | $29,401.25 | $40,594.66 | $49,368.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $41,927.07 / $60,396.89
| Facility | | $3,775.00 | $41,927.07 | $60,396.89 |