- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,704.30 / $56,532.00 / $95,028.70
| Facility | | $25,704.30 | $56,532.00 | $95,028.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56,108.33 / $80,013.78 / $117,777.15
| Facility | | $56,108.33 | $80,013.78 | $117,777.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,780.84 / $79,335.39 / $156,461.19
| Facility | | $44,780.84 | $79,335.39 | $156,461.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,299.12 / $26,299.12 / $28,221.43
| Facility | | $26,299.12 | $26,299.12 | $28,221.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56,108.33 / $86,348.59 / $118,426.46
| Facility | | $56,108.33 | $86,348.59 | $118,426.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $73,879.25 / $129,687.00
| Facility | | $9,114.00 | $73,879.25 | $129,687.00 |