- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,841.70 / $63,668.50 / $102,514.00
| Facility | | $20,841.70 | $63,668.50 | $102,514.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $31,441.78 / $104,212.68
| Facility | | $1,474.01 | $31,441.78 | $104,212.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,087.82 / $66,569.53 / $96,828.00
| Facility | | $46,087.82 | $66,569.53 | $96,828.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,285.82 / $55,833.71 / $117,257.67
| Facility | | $40,285.82 | $55,833.71 | $117,257.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,196.60 / $55,833.71 / $100,661.61
| Facility | | $37,196.60 | $55,833.71 | $100,661.61 |