- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,354.40 / $48,948.20 / $82,644.10
| Facility | | $22,354.40 | $48,948.20 | $82,644.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56,393.68 / $83,684.33 / $108,512.82
| Facility | | $56,393.68 | $83,684.33 | $108,512.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,796.05 / $69,776.45 / $102,427.91
| Facility | | $48,796.05 | $69,776.45 | $102,427.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,906.94 / $68,996.05 / $144,686.91
| Facility | | $35,906.94 | $68,996.05 | $144,686.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,796.05 / $75,969.83 / $102,992.60
| Facility | | $48,796.05 | $75,969.83 | $102,992.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $62,601.86 / $96,589.98
| Facility | | $9,114.00 | $62,601.86 | $96,589.98 |