- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,930.50 / $50,209.60 / $84,773.90
| Facility | | $22,930.50 | $50,209.60 | $84,773.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,021.80 / $76,017.89 / $102,539.10
| Facility | | $44,021.80 | $76,017.89 | $102,539.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,053.55 / $71,574.63 / $105,067.55
| Facility | | $50,053.55 | $71,574.63 | $105,067.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,832.29 / $70,774.13 / $148,415.57
| Facility | | $36,832.29 | $70,774.13 | $148,415.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,053.55 / $77,927.62 / $105,646.79
| Facility | | $50,053.55 | $77,927.62 | $105,646.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $64,215.15 / $99,079.17
| Facility | | $9,114.00 | $64,215.15 | $99,079.17 |