- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,804.40 / $45,154.30 / $88,288.70
| Facility | | $20,804.40 | $45,154.30 | $88,288.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,339.55 / $39,339.55 / $47,067.84
| Facility | | $39,339.55 | $39,339.55 | $47,067.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,478.89 / $40,561.53 / $67,261.06
| Facility | | $27,478.89 | $40,561.53 | $67,261.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,034.99 / $43,628.69 / $58,888.77
| Facility | | $27,034.99 | $43,628.69 | $58,888.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $91,276.60 / $91,276.60 / $107,120.84
| Facility | | $91,276.60 | $91,276.60 | $107,120.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,891.00 / $47,751.00 / $63,668.00
| Facility | | $3,891.00 | $47,751.00 | $63,668.00 |