- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,802.20 / $38,980.50 / $65,814.60
| Facility | | $17,802.20 | $38,980.50 | $65,814.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,707.13 / $64,858.37 / $84,101.35
| Facility | | $43,707.13 | $64,858.37 | $84,101.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,859.33 / $55,567.33 / $81,569.72
| Facility | | $38,859.33 | $55,567.33 | $81,569.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,594.93 / $54,945.85 / $115,223.19
| Facility | | $28,594.93 | $54,945.85 | $115,223.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,859.33 / $60,499.50 / $82,019.42
| Facility | | $38,859.33 | $60,499.50 | $82,019.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $49,853.76 / $76,920.61
| Facility | | $9,114.00 | $49,853.76 | $76,920.61 |