- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,324.80 / $37,935.10 / $64,049.60
| Facility | | $17,324.80 | $37,935.10 | $64,049.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,114.46 / $60,211.48 / $78,075.75
| Facility | | $41,114.46 | $60,211.48 | $78,075.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,817.19 / $54,077.12 / $79,382.17
| Facility | | $37,817.19 | $54,077.12 | $79,382.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,828.07 / $53,472.31 / $112,133.13
| Facility | | $27,828.07 | $53,472.31 | $112,133.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,817.19 / $58,877.02 / $79,819.82
| Facility | | $37,817.19 | $58,877.02 | $79,819.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $48,516.78 / $74,857.75
| Facility | | $9,114.00 | $48,516.78 | $74,857.75 |