- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,757.50 / $49,062.90 / $59,242.30
| Facility | | $25,757.50 | $49,062.90 | $59,242.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $44,302.90 / $73,381.25
| Facility | | $12,397.00 | $44,302.90 | $73,381.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,080.26 / $39,896.64 / $46,158.76
| Facility | | $35,080.26 | $39,896.64 | $46,158.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,444.56 / $33,958.65 / $45,278.20
| Facility | | $22,444.56 | $33,958.65 | $45,278.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,002.50 / $42,748.42 / $65,561.39
| Facility | | $25,002.50 | $42,748.42 | $65,561.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,827.72 / $38,173.29 / $50,116.02
| Facility | | $27,827.72 | $38,173.29 | $50,116.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $43,287.02 / $62,281.64
| Facility | | $3,775.00 | $43,287.02 | $62,281.64 |