- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,473.10 / $48,067.40 / $84,584.70
| Facility | | $28,473.10 | $48,067.40 | $84,584.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,335.59 / $18,557.68 / $30,773.23
| Facility | | $13,335.59 | $18,557.68 | $30,773.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,900.77 / $43,571.80 / $59,784.38
| Facility | | $25,900.77 | $43,571.80 | $59,784.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $93,531.75 / $93,531.75 / $109,767.45
| Facility | | $93,531.75 | $93,531.75 | $109,767.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $41,890.29 / $59,835.49
| Facility | | $1,787.00 | $41,890.29 | $59,835.49 |