- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,182.30 / $55,140.30 / $93,098.90
| Facility | | $25,182.30 | $55,140.30 | $93,098.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61,327.01 / $91,005.06 / $118,005.55
| Facility | | $61,327.01 | $91,005.06 | $118,005.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54,968.94 / $78,388.92 / $115,385.44
| Facility | | $54,968.94 | $78,388.92 | $115,385.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,871.47 / $77,724.32 / $153,283.92
| Facility | | $43,871.47 | $77,724.32 | $153,283.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54,968.94 / $84,595.10 / $116,021.57
| Facility | | $54,968.94 | $84,595.10 | $116,021.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $70,521.24 / $108,808.99
| Facility | | $9,114.00 | $70,521.24 | $108,808.99 |