- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,516.70 / $40,545.10 / $68,456.30
| Facility | | $18,516.70 | $40,545.10 | $68,456.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,837.00 / $64,536.71 / $83,684.25
| Facility | | $43,837.00 | $64,536.71 | $83,684.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,419.05 / $57,797.67 / $84,843.74
| Facility | | $40,419.05 | $57,797.67 | $84,843.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,742.67 / $57,151.25 / $119,847.98
| Facility | | $29,742.67 | $57,151.25 | $119,847.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,419.05 / $62,927.81 / $85,311.49
| Facility | | $40,419.05 | $62,927.81 | $85,311.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $51,854.77 / $80,008.03
| Facility | | $9,114.00 | $51,854.77 | $80,008.03 |