- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,611.60 / $38,611.60 / $45,762.30
| Facility | | $38,611.60 | $38,611.60 | $45,762.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,207.97 / $45,895.87 / $68,657.42
| Facility | | $28,207.97 | $45,895.87 | $68,657.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,579.50 / $39,086.32 / $66,500.84
| Facility | | $31,579.50 | $39,086.32 | $66,500.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,253.64 / $45,333.03 / $74,203.64
| Facility | | $28,253.64 | $45,333.03 | $74,203.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $414.95 / $26,188.87 / $37,864.40
| Facility | | $414.95 | $26,188.87 | $37,864.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,151.26 / $44,787.11 / $52,636.08
| Facility | | $32,151.26 | $44,787.11 | $52,636.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,952.10 / $47,418.44 / $60,220.49
| Facility | | $26,952.10 | $47,418.44 | $60,220.49 |