- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,113.80 / $45,931.90 / $55,461.60
| Facility | | $24,113.80 | $45,931.90 | $55,461.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $41,475.65 / $71,193.44
| Facility | | $12,397.00 | $41,475.65 | $71,193.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,331.20 / $37,439.62 / $41,867.92
| Facility | | $27,331.20 | $37,439.62 | $41,867.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,245.50 / $28,796.40 / $43,821.08
| Facility | | $18,245.50 | $28,796.40 | $43,821.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,837.23 / $40,804.32 / $58,560.45
| Facility | | $24,837.23 | $40,804.32 | $58,560.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,642.52 / $34,430.71 / $45,598.52
| Facility | | $27,642.52 | $34,430.71 | $45,598.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $40,524.60 / $58,307.05
| Facility | | $3,775.00 | $40,524.60 | $58,307.05 |