- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,972.40 / $62,152.00 / $81,148.10
| Facility | | $29,972.40 | $62,152.00 | $81,148.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $56,757.49 / $151,985.45
| Facility | | $5,840.42 | $56,757.49 | $151,985.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,117.93 / $58,068.26 / $87,741.83
| Facility | | $35,117.93 | $58,068.26 | $87,741.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $82,462.89 / $82,462.89 / $82,462.89
| Facility | | $82,462.89 | $82,462.89 | $82,462.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,598.07 / $58,498.54 / $90,335.48
| Facility | | $50,598.07 | $58,498.54 | $90,335.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $56,757.49 / $151,985.45
| Facility | | $5,840.42 | $56,757.49 | $151,985.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $56,757.49 / $118,777.97
| Facility | | $5,840.42 | $56,757.49 | $118,777.97 |