- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66,136.39 / $73,484.89 / $73,484.89
| Facility | | $66,136.39 | $73,484.89 | $73,484.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,475.61 / $30,475.61 / $30,475.61
| Facility | | $30,475.61 | $30,475.61 | $30,475.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,368.73 / $60,970.80 / $105,135.94
| Facility | | $30,368.73 | $60,970.80 | $105,135.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,942.00 / $82,156.07 / $127,154.56
| Facility | | $19,942.00 | $82,156.07 | $127,154.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58,908.07 / $109,784.64 / $141,750.35
| Facility | | $58,908.07 | $109,784.64 | $141,750.35 |