- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,118.72 / $97,723.72 / $120,226.44
| Facility | | $50,118.72 | $97,723.72 | $120,226.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70,794.58 / $109,647.82 / $158,489.32
| Facility | | $70,794.58 | $109,647.82 | $158,489.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,673.69 / $89,125.09 / $144,543.98
| Facility | | $34,673.69 | $89,125.09 | $144,543.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58,884.37 / $87,096.36 / $120,226.44
| Facility | | $58,884.37 | $87,096.36 | $120,226.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,466.84 / $77,624.71 / $158,489.32
| Facility | | $4,466.84 | $77,624.71 | $158,489.32 |