- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,768.80 / $50,989.10 / $61,568.10
| Facility | | $26,768.80 | $50,989.10 | $61,568.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $46,042.25 / $79,032.06
| Facility | | $12,397.00 | $46,042.25 | $79,032.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,190.22 / $41,408.22 / $48,169.94
| Facility | | $36,190.22 | $41,408.22 | $48,169.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,774.52 / $35,740.80 / $48,099.22
| Facility | | $22,774.52 | $35,740.80 | $48,099.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,246.86 / $45,297.01 / $70,977.67
| Facility | | $27,246.86 | $45,297.01 | $70,977.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,341.18 / $41,304.44 / $52,233.60
| Facility | | $30,341.18 | $41,304.44 | $52,233.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $46,271.39 / $64,726.84
| Facility | | $3,775.00 | $46,271.39 | $64,726.84 |