- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,835.40 / $54,380.70 / $91,816.30
| Facility | | $24,835.40 | $54,380.70 | $91,816.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66,453.89 / $98,612.99 / $127,870.69
| Facility | | $66,453.89 | $98,612.99 | $127,870.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54,211.65 / $77,520.56 / $113,795.83
| Facility | | $54,211.65 | $77,520.56 | $113,795.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,892.06 / $76,653.55 / $160,744.92
| Facility | | $39,892.06 | $76,653.55 | $160,744.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,358.04 / $31,358.04 / $31,358.04
| Facility | | $31,358.04 | $31,358.04 | $31,358.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54,211.65 / $84,401.31 / $114,423.19
| Facility | | $54,211.65 | $84,401.31 | $114,423.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $69,549.70 / $107,309.98
| Facility | | $9,114.00 | $69,549.70 | $107,309.98 |