- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,198.90 / $51,329.90 / $86,665.40
| Facility | | $22,198.90 | $51,329.90 | $86,665.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54,021.19 / $73,209.00 / $106,457.61
| Facility | | $54,021.19 | $73,209.00 | $106,457.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,163.80 / $72,971.95 / $107,411.86
| Facility | | $46,163.80 | $72,971.95 | $107,411.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,839.78 / $71,192.50 / $142,691.41
| Facility | | $40,839.78 | $71,192.50 | $142,691.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,106.88 / $27,106.88 / $27,106.88
| Facility | | $27,106.88 | $27,106.88 | $27,106.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,067.14 / $78,749.25 / $108,004.03
| Facility | | $44,067.14 | $78,749.25 | $108,004.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $65,647.95 / $112,541.02
| Facility | | $9,114.00 | $65,647.95 | $112,541.02 |