- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,282.60 / $55,359.80 / $93,469.60
| Facility | | $25,282.60 | $55,359.80 | $93,469.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63,557.79 / $101,273.05 / $136,605.29
| Facility | | $63,557.79 | $101,273.05 | $136,605.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55,187.78 / $78,916.38 / $115,844.83
| Facility | | $55,187.78 | $78,916.38 | $115,844.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,610.35 / $78,135.44 / $163,639.28
| Facility | | $40,610.35 | $78,135.44 | $163,639.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55,187.78 / $85,921.03 / $116,483.48
| Facility | | $55,187.78 | $85,921.03 | $116,483.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $70,802.00 / $131,709.00
| Facility | | $9,114.00 | $70,802.00 | $131,709.00 |