- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,211.00 / $62,138.20 / $95,651.90
| Facility | | $24,211.00 | $62,138.20 | $95,651.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,521.86 / $34,521.86 / $34,521.86
| Facility | | $34,521.86 | $34,521.86 | $34,521.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,306.93 / $60,453.55 / $90,576.54
| Facility | | $37,306.93 | $60,453.55 | $90,576.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,723.45 / $60,362.84 / $109,254.00
| Facility | | $43,723.45 | $60,362.84 | $109,254.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $327.76 / $640.16 / $1,087.61
| Facility | | $327.76 | $640.16 | $1,087.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,495.00 / $66,497.45 / $105,659.54
| Facility | | $44,495.00 | $66,497.45 | $105,659.54 |