- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,620.87 / $28,840.32 / $79,432.82
| Facility | | $18,620.87 | $28,840.32 | $79,432.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,703.18 / $77,624.71 / $123,026.88
| Facility | | $53,703.18 | $77,624.71 | $123,026.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,118.86 / $38,904.51 / $52,480.75
| Facility | | $25,118.86 | $38,904.51 | $52,480.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $114,815.36 / $208,929.61 / $208,929.61
| Facility | | $114,815.36 | $208,929.61 | $208,929.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,801.89 / $44,668.36 / $67,608.30
| Facility | | $3,801.89 | $44,668.36 | $67,608.30 |