- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,992.50 / $49,510.50 / $59,782.80
| Facility | | $25,992.50 | $49,510.50 | $59,782.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $44,707.10 / $72,015.25
| Facility | | $12,397.00 | $44,707.10 | $72,015.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,632.40 / $39,988.87 / $45,175.38
| Facility | | $30,632.40 | $39,988.87 | $45,175.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,461.32 / $33,445.80 / $43,293.49
| Facility | | $20,461.32 | $33,445.80 | $43,293.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,543.95 / $41,869.80 / $64,119.60
| Facility | | $24,543.95 | $41,869.80 | $64,119.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,309.71 / $38,022.57 / $49,013.89
| Facility | | $27,309.71 | $38,022.57 | $49,013.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $43,681.96 / $62,849.87
| Facility | | $3,775.00 | $43,681.96 | $62,849.87 |