- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,758.80 / $50,970.10 / $61,545.10
| Facility | | $26,758.80 | $50,970.10 | $61,545.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $46,025.05 / $75,180.53
| Facility | | $12,397.00 | $46,025.05 | $75,180.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,229.20 / $41,393.28 / $46,469.20
| Facility | | $30,229.20 | $41,393.28 | $46,469.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,264.47 / $31,223.90 / $45,196.36
| Facility | | $21,264.47 | $31,223.90 | $45,196.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,611.43 / $43,421.92 / $66,592.39
| Facility | | $25,611.43 | $43,421.92 | $66,592.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,510.05 / $38,143.06 / $52,897.36
| Facility | | $28,510.05 | $38,143.06 | $52,897.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $44,969.68 / $64,702.66
| Facility | | $3,775.00 | $44,969.68 | $64,702.66 |