- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54,954.09 / $81,283.05 / $128,824.96
| Facility | | $54,954.09 | $81,283.05 | $128,824.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,863.01 / $74,131.02 / $109,647.82
| Facility | | $47,863.01 | $74,131.02 | $109,647.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54,954.09 / $87,096.36 / $131,825.67
| Facility | | $54,954.09 | $87,096.36 | $131,825.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54,954.09 / $93,325.43 / $173,780.08
| Facility | | $54,954.09 | $93,325.43 | $173,780.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,673.69 / $54,954.09 / $91,201.08
| Facility | | $34,673.69 | $54,954.09 | $91,201.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,709.64 / $87,096.36 / $125,892.54
| Facility | | $8,709.64 | $87,096.36 | $125,892.54 |