- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,545.80 / $36,229.40 / $61,169.70
| Facility | | $16,545.80 | $36,229.40 | $61,169.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,613.00 / $44,950.70 / $68,812.62
| Facility | | $1,613.00 | $44,950.70 | $68,812.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,583.08 / $51,504.66 / $75,812.84
| Facility | | $32,583.08 | $51,504.66 | $75,812.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,570.57 / $50,248.70 / $107,091.18
| Facility | | $26,570.57 | $50,248.70 | $107,091.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,542.23 / $55,582.36 / $76,230.80
| Facility | | $30,542.23 | $55,582.36 | $76,230.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,014.90 / $46,335.27 / $70,726.63
| Facility | | $9,014.90 | $46,335.27 | $70,726.63 |