- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,195.20 / $57,358.30 / $96,843.70
| Facility | | $26,195.20 | $57,358.30 | $96,843.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $62,502.65 / $95,376.24 / $123,673.63
| Facility | | $62,502.65 | $95,376.24 | $123,673.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57,179.99 / $81,765.16 / $120,026.67
| Facility | | $57,179.99 | $81,765.16 | $120,026.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,076.33 / $80,850.67 / $169,546.44
| Facility | | $42,076.33 | $80,850.67 | $169,546.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57,179.99 / $89,022.66 / $120,688.39
| Facility | | $57,179.99 | $89,022.66 | $120,688.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $73,357.86 / $113,185.69
| Facility | | $9,114.00 | $73,357.86 | $113,185.69 |