- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,854.40 / $54,873.70 / $95,710.10
| Facility | | $21,854.40 | $54,873.70 | $95,710.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $62,132.21 / $89,212.93 / $120,195.17
| Facility | | $62,132.21 | $89,212.93 | $120,195.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54,703.19 / $78,223.44 / $114,827.62
| Facility | | $54,703.19 | $78,223.44 | $114,827.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,659.38 / $77,726.50 / $167,373.00
| Facility | | $43,659.38 | $77,726.50 | $167,373.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54,703.19 / $85,166.57 / $115,460.67
| Facility | | $54,703.19 | $85,166.57 | $115,460.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $70,180.31 / $123,169.00
| Facility | | $9,114.00 | $70,180.31 | $123,169.00 |