- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,703.18 / $81,283.05 / $114,815.36
| Facility | | $53,703.18 | $81,283.05 | $114,815.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,748.98 / $11,748.98 / $11,748.98
| Facility | | $11,748.98 | $11,748.98 | $11,748.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,125.38 / $38,018.94 / $64,565.42
| Facility | | $14,125.38 | $38,018.94 | $64,565.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,912.51 / $63,095.73 / $128,824.96
| Facility | | $8,912.51 | $63,095.73 | $128,824.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,162.28 / $58,884.37 / $107,151.93
| Facility | | $3,162.28 | $58,884.37 | $107,151.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,818.38 / $46,773.51 / $107,151.93
| Facility | | $2,818.38 | $46,773.51 | $107,151.93 |