- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $33,884.42 / $89,125.09
| Facility | | $21,379.62 | $33,884.42 | $89,125.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,199.52 / $43,651.58 / $69,183.10
| Facility | | $30,199.52 | $43,651.58 | $69,183.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,183.83 / $42,657.95 / $57,543.99
| Facility | | $28,183.83 | $42,657.95 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $128,824.96 / $128,824.96 / $128,824.96
| Facility | | $128,824.96 | $128,824.96 | $128,824.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,801.89 / $47,863.01 / $67,608.30
| Facility | | $3,801.89 | $47,863.01 | $67,608.30 |