- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,481.34 / $91,201.08 / $123,026.88
| Facility | | $35,481.34 | $91,201.08 | $123,026.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,902.95 / $30,902.95 / $30,902.95
| Facility | | $30,902.95 | $30,902.95 | $30,902.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $74,131.02 / $102,329.30 / $114,815.36
| Facility | | $74,131.02 | $102,329.30 | $114,815.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $77,624.71 / $97,723.72 / $134,896.29
| Facility | | $77,624.71 | $97,723.72 | $134,896.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,041.74 / $104,712.85 / $141,253.75
| Facility | | $2,041.74 | $104,712.85 | $141,253.75 |