- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75,857.76 / $89,125.09 / $93,325.43
| Facility | | $75,857.76 | $89,125.09 | $93,325.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54,954.09 / $95,499.26 / $138,038.43
| Facility | | $54,954.09 | $95,499.26 | $138,038.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58,884.37 / $79,432.82 / $141,253.75
| Facility | | $58,884.37 | $79,432.82 | $141,253.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66,069.34 / $75,857.76 / $95,499.26
| Facility | | $66,069.34 | $75,857.76 | $95,499.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54,954.09 / $89,125.09 / $144,543.98
| Facility | | $54,954.09 | $89,125.09 | $144,543.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $630.96 / $57,543.99 / $75,857.76
| Facility | | $630.96 | $57,543.99 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83,176.38 / $104,712.85 / $107,151.93
| Facility | | $83,176.38 | $104,712.85 | $107,151.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57,543.99 / $95,499.26 / $128,824.96
| Facility | | $57,543.99 | $95,499.26 | $128,824.96 |