- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,010.50 / $48,974.50 / $86,181.00
| Facility | | $29,010.50 | $48,974.50 | $86,181.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,769.63 / $17,769.63 / $28,481.48
| Facility | | $17,769.63 | $17,769.63 | $28,481.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,819.82 / $20,331.18 / $33,133.98
| Facility | | $13,819.82 | $20,331.18 | $33,133.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,712.10 / $44,394.10 / $60,912.66
| Facility | | $25,712.10 | $44,394.10 | $60,912.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $91,819.85 / $91,819.85 / $107,758.39
| Facility | | $91,819.85 | $91,819.85 | $107,758.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $41,816.48 / $60,964.73
| Facility | | $1,787.00 | $41,816.48 | $60,964.73 |