- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,789.70 / $59,733.00 / $99,224.80
| Facility | | $23,789.70 | $59,733.00 | $99,224.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $67,791.25 / $100,597.54 / $130,444.05
| Facility | | $67,791.25 | $100,597.54 | $130,444.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $59,547.37 / $85,150.42 / $124,996.04
| Facility | | $59,547.37 | $85,150.42 | $124,996.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,818.38 / $84,198.08 / $176,566.03
| Facility | | $43,818.38 | $84,198.08 | $176,566.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $59,547.37 / $92,708.39 / $125,685.14
| Facility | | $59,547.37 | $92,708.39 | $125,685.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $76,395.03 / $116,610.17
| Facility | | $9,114.00 | $76,395.03 | $116,610.17 |