- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $30,199.52 / $81,283.05
| Facility | | $19,498.45 | $30,199.52 | $81,283.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,113.11 / $47,863.01 / $74,131.02
| Facility | | $33,113.11 | $47,863.01 | $74,131.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,703.96 / $40,738.03 / $53,703.18
| Facility | | $25,703.96 | $40,738.03 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $117,489.76 / $117,489.76 / $117,489.76
| Facility | | $117,489.76 | $117,489.76 | $117,489.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,951.21 / $41,686.94 / $64,565.42
| Facility | | $2,951.21 | $41,686.94 | $64,565.42 |