- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,281.30 / $50,060.50 / $60,446.90
| Facility | | $26,281.30 | $50,060.50 | $60,446.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $45,203.75 / $77,592.75
| Facility | | $12,397.00 | $45,203.75 | $77,592.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,790.10 / $43,169.30 / $47,398.72
| Facility | | $35,790.10 | $43,169.30 | $47,398.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,762.20 / $38,717.50 / $50,105.00
| Facility | | $25,762.20 | $38,717.50 | $50,105.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,657.82 / $46,373.14 / $69,436.87
| Facility | | $26,657.82 | $46,373.14 | $69,436.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,682.53 / $39,958.37 / $56,857.60
| Facility | | $29,682.53 | $39,958.37 | $56,857.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $44,167.22 / $63,548.06
| Facility | | $3,775.00 | $44,167.22 | $63,548.06 |