- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,253.90 / $63,380.90 / $96,620.60
| Facility | | $37,253.90 | $63,380.90 | $96,620.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,768.01 / $64,512.29 / $104,303.73
| Facility | | $40,768.01 | $64,512.29 | $104,303.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,732.76 / $51,414.80 / $109,214.65
| Facility | | $38,732.76 | $51,414.80 | $109,214.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,896.00 / $56,655.46 / $129,146.52
| Facility | | $7,896.00 | $56,655.46 | $129,146.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $48,181.21 / $114,766.34
| Facility | | $3,308.00 | $48,181.21 | $114,766.34 |