- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,688.80 / $58,455.90 / $70,584.10
| Facility | | $30,688.80 | $58,455.90 | $70,584.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $52,784.65 / $73,407.49
| Facility | | $12,397.00 | $52,784.65 | $73,407.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,999.90 / $45,509.94 / $53,449.22
| Facility | | $34,999.90 | $45,509.94 | $53,449.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,700.00 / $27,511.76 / $59,999.40
| Facility | | $10,700.00 | $27,511.76 | $59,999.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,623.16 / $40,065.68 / $62,522.28
| Facility | | $19,623.16 | $40,065.68 | $62,522.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,651.24 / $34,266.61 / $47,792.88
| Facility | | $25,651.24 | $34,266.61 | $47,792.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,500.00 / $44,191.80 / $65,850.69
| Facility | | $7,500.00 | $44,191.80 | $65,850.69 |