- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,113.11 / $38,018.94 / $52,480.75
| Facility | | $33,113.11 | $38,018.94 | $52,480.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,199.52 / $30,199.52 / $30,199.52
| Facility | | $30,199.52 | $30,199.52 | $30,199.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,748.98 / $40,738.03 / $69,183.10
| Facility | | $11,748.98 | $40,738.03 | $69,183.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $151,356.12 / $151,356.12 / $151,356.12
| Facility | | $151,356.12 | $151,356.12 | $151,356.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,902.95 / $44,668.36 / $66,069.34
| Facility | | $30,902.95 | $44,668.36 | $66,069.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $41,686.94 / $74,131.02
| Facility | | $19,054.61 | $41,686.94 | $74,131.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,542.29 / $39,810.72 / $63,095.73
| Facility | | $27,542.29 | $39,810.72 | $63,095.73 |