- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,783.70 / $54,267.40 / $91,625.10
| Facility | | $24,783.70 | $54,267.40 | $91,625.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54,740.00 / $84,288.67 / $108,346.30
| Facility | | $54,740.00 | $84,288.67 | $108,346.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54,098.76 / $77,359.12 / $113,558.85
| Facility | | $54,098.76 | $77,359.12 | $113,558.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,176.97 / $76,593.59 / $150,857.38
| Facility | | $43,176.97 | $76,593.59 | $150,857.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,498.13 / $27,498.13 / $28,480.38
| Facility | | $27,498.13 | $27,498.13 | $28,480.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54,098.76 / $84,225.54 / $114,184.90
| Facility | | $54,098.76 | $84,225.54 | $114,184.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $69,404.86 / $106,209.00
| Facility | | $9,114.00 | $69,404.86 | $106,209.00 |