- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,821.00 / $57,619.20 / $72,096.89
| Facility | | $3,821.00 | $57,619.20 | $72,096.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,845.12 / $37,845.12 / $37,845.12
| Facility | | $37,845.12 | $37,845.12 | $37,845.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,723.50 / $45,544.42 / $77,032.25
| Facility | | $16,723.50 | $45,544.42 | $77,032.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,083.06 / $57,875.23 / $96,870.06
| Facility | | $40,083.06 | $57,875.23 | $96,870.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49,631.72 / $64,589.52 / $94,305.96
| Facility | | $49,631.72 | $64,589.52 | $94,305.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49,631.72 / $60,044.57 / $94,305.96
| Facility | | $49,631.72 | $60,044.57 | $94,305.96 |