- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,501.20 / $47,404.50 / $81,501.60
| Facility | | $20,501.20 | $47,404.50 | $81,501.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,257.17 / $67,575.91 / $99,197.65
| Facility | | $47,257.17 | $67,575.91 | $99,197.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,774.54 / $66,820.13 / $140,123.92
| Facility | | $34,774.54 | $66,820.13 | $140,123.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,593.20 / $24,593.20 / $24,593.20
| Facility | | $24,593.20 | $24,593.20 | $24,593.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,257.17 / $73,573.97 / $99,744.53
| Facility | | $47,257.17 | $73,573.97 | $99,744.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $62,224.70 / $106,150.00
| Facility | | $9,114.00 | $62,224.70 | $106,150.00 |