- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,047.50 / $49,615.30 / $59,909.30
| Facility | | $26,047.50 | $49,615.30 | $59,909.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $44,801.70 / $70,157.23
| Facility | | $12,397.00 | $44,801.70 | $70,157.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,207.68 / $39,123.54 / $47,028.92
| Facility | | $35,207.68 | $39,123.54 | $47,028.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,140.01 / $35,362.80 / $46,895.20
| Facility | | $23,140.01 | $35,362.80 | $46,895.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,912.64 / $44,076.54 / $66,206.16
| Facility | | $23,912.64 | $44,076.54 | $66,206.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,605.11 / $38,480.22 / $50,608.89
| Facility | | $26,605.11 | $38,480.22 | $50,608.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $43,774.39 / $62,982.86
| Facility | | $3,775.00 | $43,774.39 | $62,982.86 |