- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,842.00 / $50,378.30 / $88,651.20
| Facility | | $29,842.00 | $50,378.30 | $88,651.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,057.69 / $52,224.68 / $85,111.16
| Facility | | $35,057.69 | $52,224.68 | $85,111.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,145.98 / $45,666.56 / $62,658.58
| Facility | | $27,145.98 | $45,666.56 | $62,658.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $96,020.10 / $96,020.10 / $112,687.74
| Facility | | $96,020.10 | $96,020.10 | $112,687.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $43,904.22 / $62,712.15
| Facility | | $1,787.00 | $43,904.22 | $62,712.15 |