- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,988.59 / $41,578.19 / $70,200.70
| Facility | | $18,988.59 | $41,578.19 | $70,200.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,994.78 / $68,253.08 / $88,503.23
| Facility | | $45,994.78 | $68,253.08 | $88,503.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,449.01 / $59,270.49 / $87,005.76
| Facility | | $41,449.01 | $59,270.49 | $87,005.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,500.58 / $58,607.60 / $122,901.99
| Facility | | $30,500.58 | $58,607.60 | $122,901.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,449.01 / $64,531.36 / $87,485.42
| Facility | | $41,449.01 | $64,531.36 | $87,485.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $53,176.15 / $82,046.82
| Facility | | $9,114.00 | $53,176.15 | $82,046.82 |