- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,268.10 / $54,171.60 / $94,485.50
| Facility | | $22,268.10 | $54,171.60 | $94,485.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57,482.25 / $84,992.37 / $111,635.84
| Facility | | $57,482.25 | $84,992.37 | $111,635.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54,003.23 / $77,222.52 / $113,358.32
| Facility | | $54,003.23 | $77,222.52 | $113,358.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,100.73 / $76,358.84 / $150,590.99
| Facility | | $43,100.73 | $76,358.84 | $150,590.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,974.16 / $27,974.16 / $27,974.16
| Facility | | $27,974.16 | $27,974.16 | $27,974.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56,058.88 / $85,397.29 / $132,974.26
| Facility | | $56,058.88 | $85,397.29 | $132,974.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $69,282.30 / $105,753.22
| Facility | | $9,114.00 | $69,282.30 | $105,753.22 |