- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,745.00 / $52,848.70 / $63,813.50
| Facility | | $27,745.00 | $52,848.70 | $63,813.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $47,721.40 / $78,426.58
| Facility | | $12,397.00 | $47,721.40 | $78,426.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,888.08 / $42,867.52 / $48,180.66
| Facility | | $35,888.08 | $42,867.52 | $48,180.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,110.22 / $36,006.00 / $47,147.79
| Facility | | $23,110.22 | $36,006.00 | $47,147.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,708.76 / $45,601.20 / $72,058.50
| Facility | | $26,708.76 | $45,601.20 | $72,058.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,741.02 / $41,220.94 / $55,123.91
| Facility | | $29,741.02 | $41,220.94 | $55,123.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $46,627.14 / $67,087.41
| Facility | | $3,775.00 | $46,627.14 | $67,087.41 |