- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,772.60 / $50,261.20 / $88,445.10
| Facility | | $29,772.60 | $50,261.20 | $88,445.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,975.70 / $70,816.83 / $117,431.84
| Facility | | $47,975.70 | $70,816.83 | $117,431.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,082.89 / $45,560.42 / $62,512.94
| Facility | | $27,082.89 | $45,560.42 | $62,512.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $92,850.70 / $92,850.70 / $108,968.18
| Facility | | $92,850.70 | $92,850.70 | $108,968.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,158.00 / $44,796.00 / $72,921.09
| Facility | | $3,158.00 | $44,796.00 | $72,921.09 |