- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,004.70 / $52,561.70 / $88,745.20
| Facility | | $24,004.70 | $52,561.70 | $88,745.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,866.91 / $72,515.12 / $94,029.80
| Facility | | $48,866.91 | $72,515.12 | $94,029.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,271.63 / $74,723.12 / $109,989.51
| Facility | | $47,271.63 | $74,723.12 | $109,989.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,819.85 / $71,154.24 / $146,115.69
| Facility | | $41,819.85 | $71,154.24 | $146,115.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,338.88 / $80,639.06 / $110,595.89
| Facility | | $46,338.88 | $80,639.06 | $110,595.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $67,223.35 / $103,720.60
| Facility | | $9,114.00 | $67,223.35 | $103,720.60 |