- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,868.80 / $64,513.20 / $77,898.10
| Facility | | $33,868.80 | $64,513.20 | $77,898.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $58,254.25 / $98,082.79
| Facility | | $6,916.00 | $58,254.25 | $98,082.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,887.19 / $52,021.12 / $59,798.26
| Facility | | $34,887.19 | $52,021.12 | $59,798.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,378.11 / $39,523.21 / $51,524.16
| Facility | | $25,378.11 | $39,523.21 | $51,524.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,855.42 / $54,847.40 / $87,011.08
| Facility | | $27,855.42 | $54,847.40 | $87,011.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,195.07 / $51,540.31 / $57,927.54
| Facility | | $37,195.07 | $51,540.31 | $57,927.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $53,117.04 / $76,516.28
| Facility | | $3,775.00 | $53,117.04 | $76,516.28 |