- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,598.80 / $52,570.10 / $63,477.10
| Facility | | $27,598.80 | $52,570.10 | $63,477.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $47,469.85 / $81,482.55
| Facility | | $6,916.00 | $47,469.85 | $81,482.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,471.49 / $42,648.88 / $49,482.98
| Facility | | $37,471.49 | $42,648.88 | $49,482.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,385.40 / $37,158.60 / $50,558.37
| Facility | | $24,385.40 | $37,158.60 | $50,558.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,632.48 / $47,070.46 / $73,368.35
| Facility | | $28,632.48 | $47,070.46 | $73,368.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,892.43 / $42,668.29 / $53,026.15
| Facility | | $31,892.43 | $42,668.29 | $53,026.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $43,283.67 / $62,351.10
| Facility | | $3,775.00 | $43,283.67 | $62,351.10 |