- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,971.50 / $60,189.50 / $99,983.00
| Facility | | $23,971.50 | $60,189.50 | $99,983.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66,558.39 / $98,768.08 / $128,071.79
| Facility | | $66,558.39 | $98,768.08 | $128,071.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54,131.72 / $85,566.99 / $125,951.26
| Facility | | $54,131.72 | $85,566.99 | $125,951.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,153.24 / $83,480.41 / $167,320.10
| Facility | | $44,153.24 | $83,480.41 | $167,320.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51,358.62 / $92,341.46 / $126,645.64
| Facility | | $51,358.62 | $92,341.46 | $126,645.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $76,978.85 / $118,772.60
| Facility | | $9,114.00 | $76,978.85 | $118,772.60 |