- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $38,018.94 / $104,712.85
| Facility | | $24,547.09 | $38,018.94 | $104,712.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,622.78 / $45,708.82 / $70,794.58
| Facility | | $31,622.78 | $45,708.82 | $70,794.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,622.78 / $51,286.14 / $67,608.30
| Facility | | $31,622.78 | $51,286.14 | $67,608.30 |
- 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
- $2,951.21 / $53,703.18 / $81,283.05
| Facility | | $2,951.21 | $53,703.18 | $81,283.05 |