- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,738.03 / $60,255.96 / $97,723.72
| Facility | | $40,738.03 | $60,255.96 | $97,723.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,620.87 / $39,810.72 / $69,183.10
| Facility | | $18,620.87 | $39,810.72 | $69,183.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,018.94 / $63,095.73 / $117,489.76
| Facility | | $38,018.94 | $63,095.73 | $117,489.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $151,356.12 / $151,356.12 / $151,356.12
| Facility | | $151,356.12 | $151,356.12 | $151,356.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,442.29 / $57,543.99 / $97,723.72
| Facility | | $23,442.29 | $57,543.99 | $97,723.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,153.52 / $53,703.18 / $125,892.54
| Facility | | $37,153.52 | $53,703.18 | $125,892.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,079.46 / $51,286.14 / $114,815.36
| Facility | | $7,079.46 | $51,286.14 | $114,815.36 |