- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,144.40 / $37,648.10 / $64,202.60
| Facility | | $15,144.40 | $37,648.10 | $64,202.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,942.00 / $66,417.87 / $86,123.53
| Facility | | $45,942.00 | $66,417.87 | $86,123.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,907.51 / $54,206.27 / $79,571.77
| Facility | | $37,907.51 | $54,206.27 | $79,571.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,254.51 / $51,476.45 / $105,707.21
| Facility | | $30,254.51 | $51,476.45 | $105,707.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,907.51 / $59,017.64 / $80,010.45
| Facility | | $37,907.51 | $59,017.64 | $80,010.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $48,632.65 / $75,833.14
| Facility | | $9,114.00 | $48,632.65 | $75,833.14 |