- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,063.00 / $32,838.50 / $59,620.50
| Facility | | $9,063.00 | $32,838.50 | $59,620.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,509.12 / $63,080.60 / $81,796.13
| Facility | | $42,509.12 | $63,080.60 | $81,796.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,779.83 / $51,163.77 / $75,105.53
| Facility | | $35,779.83 | $51,163.77 | $75,105.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,311.00 / $45,581.62 / $94,617.86
| Facility | | $17,311.00 | $45,581.62 | $94,617.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,257.28 / $55,063.80 / $75,519.60
| Facility | | $30,257.28 | $55,063.80 | $75,519.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,281.00 / $40,950.74 / $69,261.32
| Facility | | $5,281.00 | $40,950.74 | $69,261.32 |