- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,712.30 / $36,712.30 / $43,511.30
| Facility | | $36,712.30 | $36,712.30 | $43,511.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,797.55 / $41,974.00 / $62,790.55
| Facility | | $25,797.55 | $41,974.00 | $62,790.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,026.11 / $37,163.67 / $63,229.67
| Facility | | $30,026.11 | $37,163.67 | $63,229.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,863.85 / $43,103.10 / $70,553.57
| Facility | | $26,863.85 | $43,103.10 | $70,553.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $379.49 / $23,950.99 / $36,001.85
| Facility | | $379.49 | $23,950.99 | $36,001.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,569.74 / $42,584.04 / $50,046.92
| Facility | | $30,569.74 | $42,584.04 | $50,046.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,589.18 / $45,422.10 / $57,258.25
| Facility | | $27,589.18 | $45,422.10 | $57,258.25 |