- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $77,624.71 / $114,815.36 / $147,910.84
| Facility | | $77,624.71 | $114,815.36 | $147,910.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,302.68 / $48,977.88 / $104,712.85
| Facility | | $26,302.68 | $48,977.88 | $104,712.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,738.03 / $56,234.13 / $104,712.85
| Facility | | $40,738.03 | $56,234.13 | $104,712.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,738.03 / $56,234.13 / $104,712.85
| Facility | | $40,738.03 | $56,234.13 | $104,712.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $72,443.60 / $114,815.36
| Facility | | $5,370.32 | $72,443.60 | $114,815.36 |