- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,336.70 / $37,961.19 / $64,093.80
| Facility | | $17,336.70 | $37,961.19 | $64,093.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,529.08 / $64,594.15 / $83,758.73
| Facility | | $43,529.08 | $64,594.15 | $83,758.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,843.25 / $54,114.38 / $79,436.87
| Facility | | $37,843.25 | $54,114.38 | $79,436.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,847.24 / $53,509.15 / $112,210.38
| Facility | | $27,847.24 | $53,509.15 | $112,210.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,843.25 / $58,917.58 / $79,874.81
| Facility | | $37,843.25 | $58,917.58 | $79,874.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $48,550.20 / $74,909.32
| Facility | | $9,114.00 | $48,550.20 | $74,909.32 |