- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,346.30 / $48,279.50 / $58,296.40
| Facility | | $25,346.30 | $48,279.50 | $58,296.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $43,595.55 / $71,761.89
| Facility | | $12,397.00 | $43,595.55 | $71,761.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,993.92 / $39,281.92 / $44,006.70
| Facility | | $26,993.92 | $39,281.92 | $44,006.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,283.95 / $32,685.67 / $43,141.17
| Facility | | $21,283.95 | $32,685.67 | $43,141.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,421.85 / $40,230.19 / $62,176.00
| Facility | | $22,421.85 | $40,230.19 | $62,176.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,213.63 / $35,895.04 / $46,745.24
| Facility | | $27,213.63 | $35,895.04 | $46,745.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $42,595.89 / $61,287.23
| Facility | | $3,775.00 | $42,595.89 | $61,287.23 |