- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,091.60 / $46,183.10 / $77,975.60
| Facility | | $21,091.60 | $46,183.10 | $77,975.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51,535.83 / $76,475.61 / $99,165.33
| Facility | | $51,535.83 | $76,475.61 | $99,165.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,039.61 / $65,834.85 / $96,641.87
| Facility | | $46,039.61 | $65,834.85 | $96,641.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,878.60 / $65,098.54 / $136,513.70
| Facility | | $33,878.60 | $65,098.54 | $136,513.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,039.61 / $71,678.37 / $97,174.66
| Facility | | $46,039.61 | $71,678.37 | $97,174.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $59,065.55 / $100,338.00
| Facility | | $9,114.00 | $59,065.55 | $100,338.00 |