- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,972.60 / $41,972.60 / $49,745.80
| Facility | | $41,972.60 | $41,972.60 | $49,745.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,840.00 / $46,924.21 / $70,195.77
| Facility | | $28,840.00 | $46,924.21 | $70,195.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,328.37 / $42,488.64 / $72,289.49
| Facility | | $34,328.37 | $42,488.64 | $72,289.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,713.01 / $49,279.10 / $80,662.78
| Facility | | $30,713.01 | $49,279.10 | $80,662.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $424.25 / $26,775.65 / $41,160.35
| Facility | | $424.25 | $26,775.65 | $41,160.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,949.90 / $48,685.66 / $57,217.86
| Facility | | $34,949.90 | $48,685.66 | $57,217.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,542.28 / $51,930.37 / $65,462.46
| Facility | | $31,542.28 | $51,930.37 | $65,462.46 |