- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,976.30 / $49,479.60 / $59,745.40
| Facility | | $25,976.30 | $49,479.60 | $59,745.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $44,679.15 / $73,869.62
| Facility | | $12,397.00 | $44,679.15 | $73,869.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,276.69 / $40,223.62 / $45,151.38
| Facility | | $35,276.69 | $40,223.62 | $45,151.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,562.36 / $33,367.60 / $44,408.28
| Facility | | $21,562.36 | $33,367.60 | $44,408.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,167.79 / $43,281.81 / $65,895.12
| Facility | | $25,167.79 | $43,281.81 | $65,895.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,012.92 / $39,081.32 / $50,371.12
| Facility | | $28,012.92 | $39,081.32 | $50,371.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $43,654.65 / $62,810.57
| Facility | | $3,775.00 | $43,654.65 | $62,810.57 |