- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,144.90 / $52,577.70 / $92,521.50
| Facility | | $31,144.90 | $52,577.70 | $92,521.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,465.07 / $50,465.07 / $50,465.07
| Facility | | $50,465.07 | $50,465.07 | $50,465.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,529.82 / $74,586.97 / $123,325.37
| Facility | | $50,529.82 | $74,586.97 | $123,325.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,331.13 / $47,660.29 / $65,394.16
| Facility | | $28,331.13 | $47,660.29 | $65,394.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $104,561.05 / $104,561.05 / $122,711.27
| Facility | | $104,561.05 | $104,561.05 | $122,711.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $45,821.01 / $65,450.06
| Facility | | $1,787.00 | $45,821.01 | $65,450.06 |