- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,226.90 / $63,996.40 / $108,052.00
| Facility | | $29,226.90 | $63,996.40 | $108,052.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72,564.16 / $110,890.79 / $153,613.85
| Facility | | $72,564.16 | $110,890.79 | $153,613.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63,797.52 / $91,227.98 / $133,917.54
| Facility | | $63,797.52 | $91,227.98 | $133,917.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,945.89 / $90,207.66 / $189,168.32
| Facility | | $46,945.89 | $90,207.66 | $189,168.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63,797.52 / $99,325.40 / $134,655.85
| Facility | | $63,797.52 | $99,325.40 | $134,655.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $81,847.69 / $126,284.85
| Facility | | $9,114.00 | $81,847.69 | $126,284.85 |