- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,135.20 / $52,847.40 / $89,227.60
| Facility | | $24,135.20 | $52,847.40 | $89,227.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58,963.00 / $82,557.55 / $121,729.65
| Facility | | $58,963.00 | $82,557.55 | $121,729.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,683.20 / $75,334.92 / $111,197.11
| Facility | | $52,683.20 | $75,334.92 | $111,197.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,047.19 / $74,856.34 / $146,910.01
| Facility | | $42,047.19 | $74,856.34 | $146,910.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,533.87 / $30,533.87 / $30,533.87
| Facility | | $30,533.87 | $30,533.87 | $30,533.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54,688.60 / $83,309.87 / $112,495.32
| Facility | | $54,688.60 | $83,309.87 | $112,495.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $66,794.10 / $115,041.00
| Facility | | $9,114.00 | $66,794.10 | $115,041.00 |