- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,092.50 / $49,701.00 / $60,012.80
| Facility | | $26,092.50 | $49,701.00 | $60,012.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $44,879.10 / $74,475.50
| Facility | | $6,916.00 | $44,879.10 | $74,475.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,547.96 / $41,355.00 / $48,875.15
| Facility | | $35,547.96 | $41,355.00 | $48,875.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,139.02 / $37,293.30 / $49,724.40
| Facility | | $26,139.02 | $37,293.30 | $49,724.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,372.85 / $46,706.10 / $67,056.95
| Facility | | $25,372.85 | $46,706.10 | $67,056.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,242.69 / $38,712.87 / $55,791.55
| Facility | | $28,242.69 | $38,712.87 | $55,791.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $40,921.39 / $58,948.18
| Facility | | $3,775.00 | $40,921.39 | $58,948.18 |