- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,671.80 / $48,856.20 / $69,175.10
| Facility | | $26,671.80 | $48,856.20 | $69,175.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,922.17 / $42,922.17 / $42,923.27
| Facility | | $42,922.17 | $42,922.17 | $42,923.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,463.34 / $39,344.17 / $62,244.42
| Facility | | $24,463.34 | $39,344.17 | $62,244.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,730.56 / $43,948.74 / $78,191.78
| Facility | | $27,730.56 | $43,948.74 | $78,191.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,117.00 / $40,601.10 / $92,461.92
| Facility | | $7,117.00 | $40,601.10 | $92,461.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $40,562.25 / $82,166.49
| Facility | | $3,308.00 | $40,562.25 | $82,166.49 |