- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $56,234.13 / $107,151.93
| Facility | | $19,498.45 | $56,234.13 | $107,151.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60,255.96 / $91,201.08 / $112,201.85
| Facility | | $60,255.96 | $91,201.08 | $112,201.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $66,069.34 / $91,201.08
| Facility | | $15,488.17 | $66,069.34 | $91,201.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,018.94 / $67,608.30 / $169,824.37
| Facility | | $38,018.94 | $67,608.30 | $169,824.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,317.64 / $44,668.36 / $91,201.08
| Facility | | $8,317.64 | $44,668.36 | $91,201.08 |