- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,703.18 / $77,624.71 / $177,827.94
| Facility | | $53,703.18 | $77,624.71 | $177,827.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,512.09 / $29,512.09 / $29,512.09
| Facility | | $29,512.09 | $29,512.09 | $29,512.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,199.52 / $57,543.99 / $114,815.36
| Facility | | $30,199.52 | $57,543.99 | $114,815.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,810.72 / $79,432.82 / $112,201.85
| Facility | | $39,810.72 | $79,432.82 | $112,201.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $69,183.10 / $120,226.44 / $181,970.09
| Facility | | $69,183.10 | $120,226.44 | $181,970.09 |