- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,258.20 / $51,080.80 / $89,887.50
| Facility | | $30,258.20 | $51,080.80 | $89,887.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,034.38 / $38,521.60 / $63,108.97
| Facility | | $26,034.38 | $38,521.60 | $63,108.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,524.56 / $46,303.43 / $63,532.42
| Facility | | $27,524.56 | $46,303.43 | $63,532.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $91,920.55 / $91,920.55 / $107,876.57
| Facility | | $91,920.55 | $91,920.55 | $107,876.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $44,516.51 / $63,586.73
| Facility | | $1,787.00 | $44,516.51 | $63,586.73 |