- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,799.20 / $67,439.20 / $113,864.00
| Facility | | $30,799.20 | $67,439.20 | $113,864.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64,599.08 / $111,551.24 / $154,711.92
| Facility | | $64,599.08 | $111,551.24 | $154,711.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $67,229.61 / $96,135.72 / $141,121.85
| Facility | | $67,229.61 | $96,135.72 | $141,121.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49,471.42 / $95,060.52 / $199,344.92
| Facility | | $49,471.42 | $95,060.52 | $199,344.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $67,229.61 / $104,668.76 / $141,899.85
| Facility | | $67,229.61 | $104,668.76 | $141,899.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $86,250.81 / $135,562.00
| Facility | | $9,114.00 | $86,250.81 | $135,562.00 |