- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,686.94 / $67,608.30 / $104,712.85
| Facility | | $41,686.94 | $67,608.30 | $104,712.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,668.36 / $120,226.44 / $204,173.79
| Facility | | $44,668.36 | $120,226.44 | $204,173.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,153.52 / $52,480.75 / $89,125.09
| Facility | | $37,153.52 | $52,480.75 | $89,125.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,773.51 / $58,884.37 / $85,113.80
| Facility | | $46,773.51 | $58,884.37 | $85,113.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,512.09 / $56,234.13 / $85,113.80
| Facility | | $29,512.09 | $56,234.13 | $85,113.80 |