- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $57,543.99 / $93,325.43
| Facility | | $17,782.79 | $57,543.99 | $93,325.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72,443.60 / $102,329.30 / $138,038.43
| Facility | | $72,443.60 | $102,329.30 | $138,038.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $69,183.10 / $83,176.38 / $117,489.76
| Facility | | $69,183.10 | $83,176.38 | $117,489.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51,286.14 / $83,176.38 / $112,201.85
| Facility | | $51,286.14 | $83,176.38 | $112,201.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51,286.14 / $85,113.80 / $117,489.76
| Facility | | $51,286.14 | $85,113.80 | $117,489.76 |