- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,663.96 / $49,809.77 / $49,809.77
| Facility | | $43,663.96 | $49,809.77 | $49,809.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,436.78 / $67,042.53 / $131,742.76
| Facility | | $39,436.78 | $67,042.53 | $131,742.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,166.00 / $64,721.41 / $123,996.41
| Facility | | $30,166.00 | $64,721.41 | $123,996.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57,538.68 / $86,861.99 / $127,610.28
| Facility | | $57,538.68 | $86,861.99 | $127,610.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70,741.72 / $70,741.72 / $123,110.07
| Facility | | $70,741.72 | $70,741.72 | $123,110.07 |