- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,561.60 / $57,288.40 / $93,117.70
| Facility | | $33,561.60 | $57,288.40 | $93,117.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,231.00 / $20,121.00 / $48,325.69
| Facility | | $11,231.00 | $20,121.00 | $48,325.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,778.89 / $45,518.47 / $71,809.78
| Facility | | $28,778.89 | $45,518.47 | $71,809.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,535.95 / $51,287.97 / $93,755.79
| Facility | | $26,535.95 | $51,287.97 | $93,755.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,292.00 / $46,950.54 / $65,779.14
| Facility | | $6,292.00 | $46,950.54 | $65,779.14 |