- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,216.30 / $51,841.50 / $62,597.40
| Facility | | $27,216.30 | $51,841.50 | $62,597.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $46,811.95 / $76,983.48
| Facility | | $12,397.00 | $46,811.95 | $76,983.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,912.68 / $42,747.64 / $48,315.42
| Facility | | $36,912.68 | $42,747.64 | $48,315.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,405.57 / $35,978.80 / $47,892.88
| Facility | | $24,405.57 | $35,978.80 | $47,892.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,220.37 / $45,598.88 / $66,548.20
| Facility | | $26,220.37 | $45,598.88 | $66,548.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,193.76 / $39,057.80 / $52,788.38
| Facility | | $29,193.76 | $39,057.80 | $52,788.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $45,738.54 / $65,808.89
| Facility | | $3,775.00 | $45,738.54 | $65,808.89 |