- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,232.50 / $55,682.10 / $67,234.80
| Facility | | $29,232.50 | $55,682.10 | $67,234.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $50,279.90 / $84,764.45
| Facility | | $12,397.00 | $50,279.90 | $84,764.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,523.75 / $45,090.98 / $52,067.58
| Facility | | $39,523.75 | $45,090.98 | $52,067.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,541.63 / $40,514.40 / $52,430.40
| Facility | | $26,541.63 | $40,514.40 | $52,430.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,854.96 / $50,026.20 / $76,804.20
| Facility | | $28,854.96 | $50,026.20 | $76,804.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,144.47 / $45,136.15 / $58,710.17
| Facility | | $32,144.47 | $45,136.15 | $58,710.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $49,126.97 / $70,684.19
| Facility | | $3,775.00 | $49,126.97 | $70,684.19 |