- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,731.20 / $58,536.90 / $70,681.89
| Facility | | $30,731.20 | $58,536.90 | $70,681.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $52,857.75 / $89,901.58
| Facility | | $12,397.00 | $52,857.75 | $89,901.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,328.05 / $48,361.82 / $53,512.04
| Facility | | $41,328.05 | $48,361.82 | $53,512.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,454.98 / $41,853.90 / $55,805.20
| Facility | | $28,454.98 | $41,853.90 | $55,805.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,597.23 / $52,857.75 / $81,265.67
| Facility | | $30,597.23 | $52,857.75 | $81,265.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,092.58 / $47,252.19 / $62,120.59
| Facility | | $34,092.58 | $47,252.19 | $62,120.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $51,645.71 / $74,308.16
| Facility | | $3,775.00 | $51,645.71 | $74,308.16 |