- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63,095.73 / $63,095.73 / $64,565.42
| Facility | | $63,095.73 | $63,095.73 | $64,565.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,738.03 / $53,703.18 / $79,432.82
| Facility | | $40,738.03 | $53,703.18 | $79,432.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,387.21 / $46,773.51 / $54,954.09
| Facility | | $22,387.21 | $46,773.51 | $54,954.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,915.35 / $26,915.35 / $50,118.72
| Facility | | $26,915.35 | $26,915.35 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,480.75 / $95,499.26 / $104,712.85
| Facility | | $52,480.75 | $95,499.26 | $104,712.85 |