- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $63,095.73 / $104,712.85
| Facility | | $17,782.79 | $63,095.73 | $104,712.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $79,432.82 / $114,815.36 / $151,356.12
| Facility | | $79,432.82 | $114,815.36 | $151,356.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75,857.76 / $93,325.43 / $128,824.96
| Facility | | $75,857.76 | $93,325.43 | $128,824.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56,234.13 / $93,325.43 / $123,026.88
| Facility | | $56,234.13 | $93,325.43 | $123,026.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57,543.99 / $95,499.26 / $131,825.67
| Facility | | $57,543.99 | $95,499.26 | $131,825.67 |