- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54,954.09 / $81,283.05 / $104,712.85
| Facility | | $54,954.09 | $81,283.05 | $104,712.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,620.87 / $34,673.69 / $74,131.02
| Facility | | $18,620.87 | $34,673.69 | $74,131.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,840.32 / $39,810.72 / $74,131.02
| Facility | | $28,840.32 | $39,810.72 | $74,131.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,840.32 / $39,810.72 / $74,131.02
| Facility | | $28,840.32 | $39,810.72 | $74,131.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $51,286.14 / $81,283.05
| Facility | | $5,370.32 | $51,286.14 | $81,283.05 |