- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,183.80 / $50,955.30 / $89,666.50
| Facility | | $30,183.80 | $50,955.30 | $89,666.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,597.08 / $28,690.97 / $47,438.90
| Facility | | $19,597.08 | $28,690.97 | $47,438.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,456.90 / $46,189.61 / $63,376.25
| Facility | | $27,456.90 | $46,189.61 | $63,376.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $94,991.90 / $94,991.90 / $111,481.06
| Facility | | $94,991.90 | $94,991.90 | $111,481.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $44,407.08 / $63,430.43
| Facility | | $1,787.00 | $44,407.08 | $63,430.43 |