- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,958.80 / $43,731.80 / $52,805.10
| Facility | | $22,958.80 | $43,731.80 | $52,805.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $39,489.05 / $66,999.31
| Facility | | $6,916.00 | $39,489.05 | $66,999.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,827.66 / $35,713.14 / $41,746.37
| Facility | | $30,827.66 | $35,713.14 | $41,746.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,135.73 / $29,807.80 / $40,278.05
| Facility | | $19,135.73 | $29,807.80 | $40,278.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,842.67 / $38,696.72 / $58,956.65
| Facility | | $22,842.67 | $38,696.72 | $58,956.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,407.56 / $34,036.47 / $43,297.67
| Facility | | $25,407.56 | $34,036.47 | $43,297.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $36,006.67 / $51,868.41
| Facility | | $3,775.00 | $36,006.67 | $51,868.41 |