- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,833.80 / $49,208.10 / $59,417.60
| Facility | | $25,833.80 | $49,208.10 | $59,417.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $44,434.05 / $72,635.83
| Facility | | $12,397.00 | $44,434.05 | $72,635.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,176.04 / $40,010.62 / $46,271.52
| Facility | | $35,176.04 | $40,010.62 | $46,271.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,150.32 / $33,853.05 / $44,697.40
| Facility | | $23,150.32 | $33,853.05 | $44,697.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,750.24 / $42,342.78 / $64,800.00
| Facility | | $24,750.24 | $42,342.78 | $64,800.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,545.04 / $38,177.33 / $49,534.00
| Facility | | $27,545.04 | $38,177.33 | $49,534.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $43,415.17 / $62,466.01
| Facility | | $3,775.00 | $43,415.17 | $62,466.01 |