- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,333.10 / $62,497.10 / $100,628.00
| Facility | | $27,333.10 | $62,497.10 | $100,628.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $34,859.10 / $91,862.73
| Facility | | $1,474.01 | $34,859.10 | $91,862.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,239.86 / $65,344.73 / $92,568.67
| Facility | | $45,239.86 | $65,344.73 | $92,568.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,128.28 / $53,470.96 / $113,193.18
| Facility | | $37,128.28 | $53,470.96 | $113,193.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,128.28 / $54,806.43 / $116,586.43
| Facility | | $37,128.28 | $54,806.43 | $116,586.43 |