- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,266.09 / $39,996.19 / $67,529.70
| Facility | | $18,266.09 | $39,996.19 | $67,529.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,382.17 / $67,974.49 / $88,141.99
| Facility | | $46,382.17 | $67,974.49 | $88,141.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,871.93 / $57,015.31 / $83,695.28
| Facility | | $39,871.93 | $57,015.31 | $83,695.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,340.06 / $56,377.64 / $118,225.70
| Facility | | $29,340.06 | $56,377.64 | $118,225.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,871.93 / $62,076.01 / $84,156.70
| Facility | | $39,871.93 | $62,076.01 | $84,156.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $51,152.85 / $78,925.02
| Facility | | $9,114.00 | $51,152.85 | $78,925.02 |