- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,061.40 / $34,849.50 / $57,889.80
| Facility | | $14,061.40 | $34,849.50 | $57,889.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,393.00 / $49,559.76 / $73,435.52
| Facility | | $31,393.00 | $49,559.76 | $73,435.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,342.05 / $49,678.53 / $72,925.28
| Facility | | $31,342.05 | $49,678.53 | $72,925.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,727.41 / $47,176.72 / $96,877.69
| Facility | | $27,727.41 | $47,176.72 | $96,877.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,518.68 / $18,518.68 / $18,518.68
| Facility | | $18,518.68 | $18,518.68 | $18,518.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,378.94 / $54,088.01 / $73,327.33
| Facility | | $29,378.94 | $54,088.01 | $73,327.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $45,744.57 / $69,498.95
| Facility | | $9,114.00 | $45,744.57 | $69,498.95 |