- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $42,657.95 / $69,183.10
| Facility | | $17,782.79 | $42,657.95 | $69,183.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,703.18 / $75,857.76 / $102,329.30
| Facility | | $53,703.18 | $75,857.76 | $102,329.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,118.72 / $61,659.50 / $87,096.36
| Facility | | $50,118.72 | $61,659.50 | $87,096.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,153.52 / $61,659.50 / $83,176.38
| Facility | | $37,153.52 | $61,659.50 | $83,176.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,018.94 / $63,095.73 / $87,096.36
| Facility | | $38,018.94 | $63,095.73 | $87,096.36 |