- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,485.40 / $70,495.89 / $99,814.60
| Facility | | $38,485.40 | $70,495.89 | $99,814.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,527.22 / $63,531.87 / $104,397.15
| Facility | | $40,527.22 | $63,531.87 | $104,397.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,013.16 / $63,414.80 / $112,824.99
| Facility | | $40,013.16 | $63,414.80 | $112,824.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,896.00 / $59,189.43 / $133,415.76
| Facility | | $7,896.00 | $59,189.43 | $133,415.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $56,618.62 / $118,560.21
| Facility | | $3,308.00 | $56,618.62 | $118,560.21 |