- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,217.90 / $44,270.10 / $74,745.70
| Facility | | $20,217.90 | $44,270.10 | $74,745.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,016.54 / $74,221.09 / $96,241.91
| Facility | | $50,016.54 | $74,221.09 | $96,241.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,132.51 / $63,107.77 / $92,638.67
| Facility | | $44,132.51 | $63,107.77 | $92,638.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,475.24 / $62,401.96 / $130,858.89
| Facility | | $32,475.24 | $62,401.96 | $130,858.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,786.02 / $24,786.02 / $24,786.02
| Facility | | $24,786.02 | $24,786.02 | $24,786.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,132.51 / $68,709.24 / $93,149.39
| Facility | | $44,132.51 | $68,709.24 | $93,149.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $56,618.87 / $87,358.68
| Facility | | $9,114.00 | $56,618.87 | $87,358.68 |