- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $38,018.94 / $102,329.30
| Facility | | $24,547.09 | $38,018.94 | $102,329.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,512.09 / $42,657.95 / $66,069.34
| Facility | | $29,512.09 | $42,657.95 | $66,069.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,359.37 / $50,118.72 / $66,069.34
| Facility | | $32,359.37 | $50,118.72 | $66,069.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $147,910.84 / $147,910.84 / $147,910.84
| Facility | | $147,910.84 | $147,910.84 | $147,910.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,951.21 / $52,480.75 / $81,283.05
| Facility | | $2,951.21 | $52,480.75 | $81,283.05 |