- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,002.50 / $47,624.80 / $57,505.80
| Facility | | $25,002.50 | $47,624.80 | $57,505.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $43,004.30 / $72,408.17
| Facility | | $12,397.00 | $43,004.30 | $72,408.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,249.00 / $38,768.08 / $43,711.76
| Facility | | $30,249.00 | $38,768.08 | $43,711.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,661.82 / $33,320.00 / $43,529.69
| Facility | | $20,661.82 | $33,320.00 | $43,529.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,671.94 / $41,985.30 / $64,777.32
| Facility | | $24,671.94 | $41,985.30 | $64,777.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,458.71 / $37,698.69 / $49,516.66
| Facility | | $27,458.71 | $37,698.69 | $49,516.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $42,018.20 / $60,456.05
| Facility | | $3,775.00 | $42,018.20 | $60,456.05 |