- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,557.80 / $45,223.10 / $77,751.20
| Facility | | $19,557.80 | $45,223.10 | $77,751.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,573.37 / $72,793.67 / $93,809.98
| Facility | | $48,573.37 | $72,793.67 | $93,809.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,082.59 / $64,466.35 / $94,632.98
| Facility | | $45,082.59 | $64,466.35 | $94,632.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,174.36 / $63,745.34 / $133,676.00
| Facility | | $33,174.36 | $63,745.34 | $133,676.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,082.59 / $70,188.39 / $95,154.70
| Facility | | $45,082.59 | $70,188.39 | $95,154.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $57,837.75 / $91,355.00
| Facility | | $9,114.00 | $57,837.75 | $91,355.00 |