- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,471.80 / $49,753.30 / $87,551.40
| Facility | | $29,471.80 | $49,753.30 | $87,551.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,152.62 / $31,152.62 / $31,152.62
| Facility | | $31,152.62 | $31,152.62 | $31,152.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,792.83 / $40,133.64 / $64,842.80
| Facility | | $27,792.83 | $40,133.64 | $64,842.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,809.21 / $45,100.03 / $61,881.25
| Facility | | $26,809.21 | $45,100.03 | $61,881.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,157.52 / $90,767.80 / $106,523.72
| Facility | | $43,157.52 | $90,767.80 | $106,523.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,520.00 / $42,220.46 / $61,602.65
| Facility | | $2,520.00 | $42,220.46 | $61,602.65 |