- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,018.94 / $53,703.18 / $125,892.54
| Facility | | $38,018.94 | $53,703.18 | $125,892.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,773.51 / $46,773.51 / $46,773.51
| Facility | | $46,773.51 | $46,773.51 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,703.96 / $54,954.09 / $91,201.08
| Facility | | $25,703.96 | $54,954.09 | $91,201.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,708.82 / $64,565.42 / $95,499.26
| Facility | | $45,708.82 | $64,565.42 | $95,499.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,651.58 / $85,113.80 / $128,824.96
| Facility | | $43,651.58 | $85,113.80 | $128,824.96 |