- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,245.20 / $41,488.40 / $67,275.80
| Facility | | $26,245.20 | $41,488.40 | $67,275.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,627.58 / $32,250.45 / $73,698.25
| Facility | | $24,627.58 | $32,250.45 | $73,698.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $28,905.79 / $61,617.12
| Facility | | $100.00 | $28,905.79 | $61,617.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,342.02 / $45,290.02 / $78,262.89
| Facility | | $31,342.02 | $45,290.02 | $78,262.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,261.12 / $55,557.25 / $65,201.15
| Facility | | $38,261.12 | $55,557.25 | $65,201.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,599.32 / $36,835.56 / $78,262.89
| Facility | | $24,599.32 | $36,835.56 | $78,262.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $33,715.49 / $69,024.75
| Facility | | $5,693.00 | $33,715.49 | $69,024.75 |