- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,117.50 / $66,891.80 / $80,770.30
| Facility | | $35,117.50 | $66,891.80 | $80,770.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $60,402.10 / $103,680.91
| Facility | | $12,397.00 | $60,402.10 | $103,680.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,916.21 / $53,887.70 / $61,327.56
| Facility | | $46,916.21 | $53,887.70 | $61,327.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,770.47 / $48,739.35 / $55,201.88
| Facility | | $30,770.47 | $48,739.35 | $55,201.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,377.11 / $59,735.24 / $94,392.95
| Facility | | $36,377.11 | $59,735.24 | $94,392.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,574.67 / $54,494.32 / $65,843.07
| Facility | | $40,574.67 | $54,494.32 | $65,843.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $60,702.71 / $84,914.12
| Facility | | $3,775.00 | $60,702.71 | $84,914.12 |