- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $67,608.30 / $93,325.43 / $125,892.54
| Facility | | $67,608.30 | $93,325.43 | $125,892.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60,255.96 / $77,624.71 / $104,712.85
| Facility | | $60,255.96 | $77,624.71 | $104,712.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58,884.37 / $87,096.36 / $117,489.76
| Facility | | $58,884.37 | $87,096.36 | $117,489.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,622.78 / $31,622.78 / $31,622.78
| Facility | | $31,622.78 | $31,622.78 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,964.78 / $85,113.80 / $107,151.93
| Facility | | $10,964.78 | $85,113.80 | $107,151.93 |