- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51,286.14 / $75,857.76 / $97,723.72
| Facility | | $51,286.14 | $75,857.76 | $97,723.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,595.87 / $32,359.37 / $69,183.10
| Facility | | $16,595.87 | $32,359.37 | $69,183.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,915.35 / $37,153.52 / $69,183.10
| Facility | | $26,915.35 | $37,153.52 | $69,183.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,915.35 / $37,153.52 / $69,183.10
| Facility | | $26,915.35 | $37,153.52 | $69,183.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $43,651.58 / $74,131.02
| Facility | | $5,370.32 | $43,651.58 | $74,131.02 |