- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,165.00 / $49,839.10 / $60,179.50
| Facility | | $26,165.00 | $49,839.10 | $60,179.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $45,003.80 / $77,249.55
| Facility | | $6,916.00 | $45,003.80 | $77,249.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,640.98 / $41,919.48 / $47,214.84
| Facility | | $35,640.98 | $41,919.48 | $47,214.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,259.37 / $36,912.15 / $49,216.20
| Facility | | $24,259.37 | $36,912.15 | $49,216.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,815.63 / $46,128.54 / $69,850.57
| Facility | | $26,815.63 | $46,128.54 | $69,850.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,859.38 / $40,465.08 / $53,014.64
| Facility | | $29,859.38 | $40,465.08 | $53,014.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $41,035.08 / $59,111.97
| Facility | | $3,775.00 | $41,035.08 | $59,111.97 |