- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,056.30 / $38,716.30 / $76,503.60
| Facility | | $16,056.30 | $38,716.30 | $76,503.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,060.50 / $64,700.41 / $87,169.84
| Facility | | $45,060.50 | $64,700.41 | $87,169.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,011.28 / $52,924.69 / $77,690.48
| Facility | | $37,011.28 | $52,924.69 | $77,690.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,539.22 / $52,400.96 / $103,208.01
| Facility | | $29,539.22 | $52,400.96 | $103,208.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,011.28 / $57,622.31 / $78,118.78
| Facility | | $37,011.28 | $57,622.31 | $78,118.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $47,482.84 / $83,535.53
| Facility | | $9,114.00 | $47,482.84 | $83,535.53 |