- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,266.70 / $37,807.90 / $63,834.90
| Facility | | $17,266.70 | $37,807.90 | $63,834.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,664.42 / $69,246.78 / $89,791.77
| Facility | | $46,664.42 | $69,246.78 | $89,791.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,690.40 / $53,895.81 / $79,116.03
| Facility | | $37,690.40 | $53,895.81 | $79,116.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,734.77 / $53,293.03 / $111,757.17
| Facility | | $27,734.77 | $53,293.03 | $111,757.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,690.40 / $58,679.62 / $79,552.20
| Facility | | $37,690.40 | $58,679.62 | $79,552.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $48,354.11 / $74,606.77
| Facility | | $9,114.00 | $48,354.11 | $74,606.77 |