- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,707.70 / $40,963.19 / $69,162.30
| Facility | | $18,707.70 | $40,963.19 | $69,162.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,668.11 / $64,507.16 / $82,918.75
| Facility | | $41,668.11 | $64,507.16 | $82,918.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,835.90 / $58,393.75 / $85,718.75
| Facility | | $40,835.90 | $58,393.75 | $85,718.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,049.41 / $57,740.66 / $121,084.00
| Facility | | $30,049.41 | $57,740.66 | $121,084.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,835.90 / $63,576.80 / $86,191.33
| Facility | | $40,835.90 | $63,576.80 | $86,191.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $52,389.56 / $80,833.17
| Facility | | $9,114.00 | $52,389.56 | $80,833.17 |