- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,797.70 / $50,303.50 / $88,519.60
| Facility | | $29,797.70 | $50,303.50 | $88,519.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $71,227.74 / $105,391.65 / $172,660.49
| Facility | | $71,227.74 | $105,391.65 | $172,660.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,105.69 / $45,598.78 / $62,565.58
| Facility | | $27,105.69 | $45,598.78 | $62,565.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $92,784.45 / $92,784.45 / $108,890.43
| Facility | | $92,784.45 | $92,784.45 | $108,890.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $42,951.22 / $62,619.07
| Facility | | $1,787.00 | $42,951.22 | $62,619.07 |