- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,677.30 / $50,965.30 / $85,671.10
| Facility | | $20,677.30 | $50,965.30 | $85,671.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56,920.11 / $84,465.52 / $109,525.78
| Facility | | $56,920.11 | $84,465.52 | $109,525.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,723.32 / $72,332.14 / $106,764.92
| Facility | | $47,723.32 | $72,332.14 | $106,764.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,371.23 / $71,616.37 / $149,986.35
| Facility | | $40,371.23 | $71,616.37 | $149,986.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,559.73 / $22,559.73 / $22,559.73
| Facility | | $22,559.73 | $22,559.73 | $22,559.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,723.32 / $78,752.38 / $108,011.38
| Facility | | $47,723.32 | $78,752.38 | $108,011.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,023.89 / $63,418.24 / $100,541.33
| Facility | | $21,023.89 | $63,418.24 | $100,541.33 |