- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,397.50 / $52,186.80 / $63,014.30
| Facility | | $27,397.50 | $52,186.80 | $63,014.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $47,123.70 / $80,888.38
| Facility | | $12,397.00 | $47,123.70 | $80,888.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,062.01 / $43,048.80 / $47,577.62
| Facility | | $37,062.01 | $43,048.80 | $47,577.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,902.53 / $40,149.44 / $52,573.40
| Facility | | $26,902.53 | $40,149.44 | $52,573.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,488.35 / $49,347.90 / $75,455.39
| Facility | | $28,488.35 | $49,347.90 | $75,455.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,735.08 / $43,561.42 / $58,199.97
| Facility | | $31,735.08 | $43,561.42 | $58,199.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $46,043.14 / $66,247.16
| Facility | | $3,775.00 | $46,043.14 | $66,247.16 |