- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,348.80 / $52,093.90 / $62,902.10
| Facility | | $27,348.80 | $52,093.90 | $62,902.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $47,039.85 / $80,744.45
| Facility | | $12,397.00 | $47,039.85 | $80,744.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,079.10 / $43,000.40 / $48,511.30
| Facility | | $37,079.10 | $43,000.40 | $48,511.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,611.31 / $38,188.19 / $50,403.85
| Facility | | $25,611.31 | $38,188.19 | $50,403.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,541.77 / $49,225.77 / $72,477.80
| Facility | | $28,541.77 | $49,225.77 | $72,477.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,794.95 / $42,537.88 / $58,663.12
| Facility | | $31,794.95 | $42,537.88 | $58,663.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $45,961.22 / $66,129.28
| Facility | | $3,775.00 | $45,961.22 | $66,129.28 |