- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,446.30 / $54,184.40 / $65,426.40
| Facility | | $28,446.30 | $54,184.40 | $65,426.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $48,927.55 / $79,216.06
| Facility | | $12,397.00 | $48,927.55 | $79,216.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,045.76 / $43,915.70 / $50,823.72
| Facility | | $37,045.76 | $43,915.70 | $50,823.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,654.64 / $36,674.37 / $48,318.60
| Facility | | $24,654.64 | $36,674.37 | $48,318.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,975.94 / $46,645.20 / $71,847.45
| Facility | | $26,975.94 | $46,645.20 | $71,847.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,040.40 / $41,478.50 / $55,012.46
| Facility | | $30,040.40 | $41,478.50 | $55,012.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $47,805.63 / $68,783.03
| Facility | | $3,775.00 | $47,805.63 | $68,783.03 |