- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,387.50 / $75,025.30 / $90,591.30
| Facility | | $39,387.50 | $75,025.30 | $90,591.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $67,746.50 / $116,287.66
| Facility | | $12,397.00 | $67,746.50 | $116,287.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,605.42 / $62,445.54 / $75,139.16
| Facility | | $52,605.42 | $62,445.54 | $75,139.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,316.58 / $49,658.74 / $56,553.27
| Facility | | $28,316.58 | $49,658.74 | $56,553.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,617.42 / $65,728.56 / $104,080.38
| Facility | | $32,617.42 | $65,728.56 | $104,080.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $66,193.06 / $95,238.98
| Facility | | $3,775.00 | $66,193.06 | $95,238.98 |