- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,664.19 / $57,463.50 / $93,402.30
| Facility | | $33,664.19 | $57,463.50 | $93,402.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,621.00 / $18,621.00 / $43,091.75
| Facility | | $18,621.00 | $18,621.00 | $43,091.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,759.31 / $45,657.58 / $72,029.24
| Facility | | $28,759.31 | $45,657.58 | $72,029.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,173.43 / $41,561.57 / $76,286.20
| Facility | | $23,173.43 | $41,561.57 | $76,286.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,842.00 / $47,686.80 / $65,594.17
| Facility | | $6,842.00 | $47,686.80 | $65,594.17 |