- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,651.10 / $48,367.90 / $85,113.50
| Facility | | $28,651.10 | $48,367.90 | $85,113.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,287.00 / $12,287.00 / $34,607.50
| Facility | | $12,287.00 | $12,287.00 | $34,607.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,390.89 / $32,081.69 / $52,749.83
| Facility | | $22,390.89 | $32,081.69 | $52,749.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,062.70 / $43,844.20 / $60,158.13
| Facility | | $26,062.70 | $43,844.20 | $60,158.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $92,821.55 / $92,821.55 / $108,933.97
| Facility | | $92,821.55 | $92,821.55 | $108,933.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $42,152.18 / $60,209.56
| Facility | | $1,787.00 | $42,152.18 | $60,209.56 |