- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,220.50 / $42,809.30 / $73,004.20
| Facility | | $17,220.50 | $42,809.30 | $73,004.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,905.62 / $72,572.56 / $94,104.28
| Facility | | $48,905.62 | $72,572.56 | $94,104.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,646.00 / $56,575.31 / $90,457.97
| Facility | | $17,646.00 | $56,575.31 | $90,457.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,718.61 / $60,948.07 / $127,810.03
| Facility | | $31,718.61 | $60,948.07 | $127,810.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,648.00 / $60,545.59 / $90,480.30
| Facility | | $17,648.00 | $60,545.59 | $90,480.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,301.00 / $42,536.34 / $84,022.92
| Facility | | $8,301.00 | $42,536.34 | $84,022.92 |