- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51,286.14 / $74,131.02 / $165,958.69
| Facility | | $51,286.14 | $74,131.02 | $165,958.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,703.18 / $53,703.18 / $53,703.18
| Facility | | $53,703.18 | $53,703.18 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,512.09 / $79,432.82 / $125,892.54
| Facility | | $29,512.09 | $79,432.82 | $125,892.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $74,131.02 / $104,712.85
| Facility | | $15,488.17 | $74,131.02 | $104,712.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58,884.37 / $114,815.36 / $173,780.08
| Facility | | $58,884.37 | $114,815.36 | $173,780.08 |