- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,648.80 / $65,998.89 / $79,692.10
| Facility | | $34,648.80 | $65,998.89 | $79,692.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $59,595.85 / $93,569.90
| Facility | | $12,397.00 | $59,595.85 | $93,569.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,428.60 / $51,957.80 / $60,138.22
| Facility | | $43,428.60 | $51,957.80 | $60,138.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,799.63 / $40,556.90 / $49,872.23
| Facility | | $27,799.63 | $40,556.90 | $49,872.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,834.99 / $52,527.33 / $83,007.62
| Facility | | $31,834.99 | $52,527.33 | $83,007.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,483.69 / $48,044.43 / $58,390.68
| Facility | | $35,483.69 | $48,044.43 | $58,390.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $58,229.30 / $83,780.67
| Facility | | $3,775.00 | $58,229.30 | $83,780.67 |