- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,701.20 / $60,384.50 / $72,912.89
| Facility | | $31,701.20 | $60,384.50 | $72,912.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $54,526.15 / $88,164.72
| Facility | | $12,397.00 | $54,526.15 | $88,164.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,002.60 / $48,781.18 / $55,057.40
| Facility | | $37,002.60 | $48,781.18 | $55,057.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,248.12 / $39,538.60 / $53,002.08
| Facility | | $25,248.12 | $39,538.60 | $53,002.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,006.95 / $50,792.46 / $78,212.58
| Facility | | $30,006.95 | $50,792.46 | $78,212.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,433.93 / $46,339.30 / $58,841.44
| Facility | | $33,433.93 | $46,339.30 | $58,841.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $53,275.85 / $76,653.62
| Facility | | $3,775.00 | $53,275.85 | $76,653.62 |