- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,870.10 / $48,737.50 / $85,763.90
| Facility | | $28,870.10 | $48,737.50 | $85,763.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,268.58 / $28,268.58 / $45,651.83
| Facility | | $28,268.58 | $28,268.58 | $45,651.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,458.30 / $55,307.93 / $90,675.77
| Facility | | $37,458.30 | $55,307.93 | $90,675.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,261.87 / $44,179.26 / $60,617.87
| Facility | | $26,261.87 | $44,179.26 | $60,617.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $91,133.50 / $91,133.50 / $106,952.90
| Facility | | $91,133.50 | $91,133.50 | $106,952.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $42,474.31 / $60,669.69
| Facility | | $1,787.00 | $42,474.31 | $60,669.69 |