- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,059.50 / $42,834.40 / $71,153.89
| Facility | | $17,059.50 | $42,834.40 | $71,153.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,207.85 / $69,987.10 / $89,962.78
| Facility | | $45,207.85 | $69,987.10 | $89,962.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,701.32 / $61,061.22 / $89,634.45
| Facility | | $42,701.32 | $61,061.22 | $89,634.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,422.09 / $60,378.30 / $126,615.21
| Facility | | $31,422.09 | $60,378.30 | $126,615.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,467.00 / $22,898.54 / $22,977.28
| Facility | | $22,467.00 | $22,898.54 | $22,977.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,701.32 / $66,481.03 / $90,128.61
| Facility | | $42,701.32 | $66,481.03 | $90,128.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $54,782.76 / $84,972.00
| Facility | | $9,114.00 | $54,782.76 | $84,972.00 |