- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,154.70 / $39,752.30 / $67,117.80
| Facility | | $18,154.70 | $39,752.30 | $67,117.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49,064.32 / $72,808.07 / $94,409.65
| Facility | | $49,064.32 | $72,808.07 | $94,409.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,709.00 / $51,516.00 / $83,184.85
| Facility | | $22,709.00 | $51,516.00 | $83,184.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,161.13 / $56,033.81 / $117,504.68
| Facility | | $29,161.13 | $56,033.81 | $117,504.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,949.60 / $55,663.78 / $83,643.46
| Facility | | $27,949.60 | $55,663.78 | $83,643.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,281.00 / $50,840.89 / $78,443.69
| Facility | | $5,281.00 | $50,840.89 | $78,443.69 |