- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,608.60 / $65,545.00 / $85,578.20
| Facility | | $31,608.60 | $65,545.00 | $85,578.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $59,855.99 / $160,282.64
| Facility | | $5,840.42 | $59,855.99 | $160,282.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,035.08 / $61,238.32 / $92,531.84
| Facility | | $37,035.08 | $61,238.32 | $92,531.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $86,964.72 / $86,964.72 / $86,964.72
| Facility | | $86,964.72 | $86,964.72 | $86,964.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,360.32 / $61,692.09 / $95,267.08
| Facility | | $53,360.32 | $61,692.09 | $95,267.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $59,855.99 / $160,282.64
| Facility | | $5,840.42 | $59,855.99 | $160,282.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $59,855.99 / $125,262.30
| Facility | | $5,840.42 | $59,855.99 | $125,262.30 |