- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,233.70 / $33,356.30 / $56,318.80
| Facility | | $15,233.70 | $33,356.30 | $56,318.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,103.73 / $54,499.07 / $70,668.52
| Facility | | $36,103.73 | $54,499.07 | $70,668.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,252.66 / $47,550.02 / $69,800.75
| Facility | | $33,252.66 | $47,550.02 | $69,800.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,469.22 / $47,018.21 / $98,598.66
| Facility | | $24,469.22 | $47,018.21 | $98,598.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,252.66 / $51,770.57 / $70,185.57
| Facility | | $33,252.66 | $51,770.57 | $70,185.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $42,660.80 / $65,117.89
| Facility | | $9,114.00 | $42,660.80 | $65,117.89 |