- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,509.80 / $56,673.50 / $97,437.60
| Facility | | $24,509.80 | $56,673.50 | $97,437.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66,798.98 / $97,826.06 / $126,850.29
| Facility | | $66,798.98 | $97,826.06 | $126,850.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56,497.40 / $80,789.08 / $118,593.84
| Facility | | $56,497.40 | $80,789.08 | $118,593.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,574.04 / $79,885.52 / $167,522.45
| Facility | | $41,574.04 | $79,885.52 | $167,522.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,036.56 / $30,036.56 / $30,036.56
| Facility | | $30,036.56 | $30,036.56 | $30,036.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56,497.40 / $87,959.94 / $119,247.65
| Facility | | $56,497.40 | $87,959.94 | $119,247.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,792.00 / $72,482.14 / $118,974.00
| Facility | | $7,792.00 | $72,482.14 | $118,974.00 |