- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,816.59 / $44,735.30 / $74,311.50
| Facility | | $17,816.59 | $44,735.30 | $74,311.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,099.76 / $74,344.59 / $96,402.05
| Facility | | $50,099.76 | $74,344.59 | $96,402.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,596.26 / $63,770.92 / $93,612.13
| Facility | | $44,596.26 | $63,770.92 | $93,612.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,816.50 / $63,057.69 / $132,233.97
| Facility | | $32,816.50 | $63,057.69 | $132,233.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,712.91 / $68,631.95 / $94,128.22
| Facility | | $37,712.91 | $68,631.95 | $94,128.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $57,213.83 / $87,331.78
| Facility | | $9,114.00 | $57,213.83 | $87,331.78 |