- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $107,151.93 / $123,026.88 / $158,489.32
| Facility | | $107,151.93 | $123,026.88 | $158,489.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54,954.09 / $125,892.54 / $257,039.58
| Facility | | $54,954.09 | $125,892.54 | $257,039.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $165,958.69 / $165,958.69 / $165,958.69
| Facility | | $165,958.69 | $165,958.69 | $165,958.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $67,608.30 / $134,896.29 / $213,796.21
| Facility | | $67,608.30 | $134,896.29 | $213,796.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $79,432.82 / $125,892.54 / $190,546.07
| Facility | | $79,432.82 | $125,892.54 | $190,546.07 |