- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,552.69 / $56,452.70 / $88,888.70
| Facility | | $41,552.69 | $56,452.70 | $88,888.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,928.63 / $50,117.91 / $75,090.82
| Facility | | $30,928.63 | $50,117.91 | $75,090.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,249.32 / $50,845.96 / $95,510.00
| Facility | | $36,249.32 | $50,845.96 | $95,510.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $271.73 / $516.61 / $845.86
| Facility | | $271.73 | $516.61 | $845.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,926.78 / $55,257.11 / $90,940.31
| Facility | | $39,926.78 | $55,257.11 | $90,940.31 |