- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,991.80 / $51,026.20 / $89,857.20
| Facility | | $31,991.80 | $51,026.20 | $89,857.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,746.00 / $42,818.20 / $68,308.03
| Facility | | $6,746.00 | $42,818.20 | $68,308.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,581.60 / $39,675.60 / $66,465.89
| Facility | | $29,581.60 | $39,675.60 | $66,465.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,469.43 / $31,892.85 / $42,523.80
| Facility | | $19,469.43 | $31,892.85 | $42,523.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,102.98 / $40,219.87 / $58,491.86
| Facility | | $8,102.98 | $40,219.87 | $58,491.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,729.24 / $21,729.24 / $21,729.24
| Facility | | $21,729.24 | $21,729.24 | $21,729.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $15,862.00 / $54,357.22
| Facility | | $3,775.00 | $15,862.00 | $54,357.22 |