- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,966.20 / $53,270.10 / $64,322.40
| Facility | | $27,966.20 | $53,270.10 | $64,322.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $48,101.95 / $82,567.56
| Facility | | $12,397.00 | $48,101.95 | $82,567.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,827.40 / $43,198.24 / $50,064.38
| Facility | | $33,827.40 | $43,198.24 | $50,064.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,927.32 / $35,252.25 / $49,851.97
| Facility | | $24,927.32 | $35,252.25 | $49,851.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,232.34 / $47,323.37 / $73,564.12
| Facility | | $28,232.34 | $47,323.37 | $73,564.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,446.83 / $42,693.05 / $55,309.66
| Facility | | $31,446.83 | $42,693.05 | $55,309.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $46,998.96 / $67,622.39
| Facility | | $3,775.00 | $46,998.96 | $67,622.39 |