- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $109,647.82 / $151,356.12 / $173,780.08
| Facility | | $109,647.82 | $151,356.12 | $173,780.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,018.94 / $38,018.94 / $38,018.94
| Facility | | $38,018.94 | $38,018.94 | $38,018.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83,176.38 / $144,543.98 / $190,546.07
| Facility | | $83,176.38 | $144,543.98 | $190,546.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72,443.60 / $109,647.82 / $269,153.48
| Facility | | $72,443.60 | $109,647.82 | $269,153.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $67,608.30 / $107,151.93 / $162,181.01
| Facility | | $67,608.30 | $107,151.93 | $162,181.01 |