- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,632.50 / $52,634.40 / $63,554.70
| Facility | | $27,632.50 | $52,634.40 | $63,554.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $47,527.90 / $78,793.78
| Facility | | $6,916.00 | $47,527.90 | $78,793.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,088.80 / $42,699.34 / $48,930.80
| Facility | | $30,088.80 | $42,699.34 | $48,930.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,974.40 / $32,995.30 / $47,368.54
| Facility | | $19,974.40 | $32,995.30 | $47,368.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,834.28 / $43,942.50 / $69,899.44
| Facility | | $26,834.28 | $43,942.50 | $69,899.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,869.99 / $21,869.99 / $46,462.89
| Facility | | $21,869.99 | $21,869.99 | $46,462.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $43,336.60 / $62,427.34
| Facility | | $3,775.00 | $43,336.60 | $62,427.34 |