- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $35,481.34 / $97,723.72
| Facility | | $22,908.68 | $35,481.34 | $97,723.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,651.58 / $63,095.73 / $97,723.72
| Facility | | $43,651.58 | $63,095.73 | $97,723.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,902.95 / $47,863.01 / $64,565.42
| Facility | | $30,902.95 | $47,863.01 | $64,565.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $141,253.75 / $141,253.75 / $141,253.75
| Facility | | $141,253.75 | $141,253.75 | $141,253.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,801.89 / $52,480.75 / $89,125.09
| Facility | | $3,801.89 | $52,480.75 | $89,125.09 |