- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,480.75 / $102,329.30 / $165,958.69
| Facility | | $52,480.75 | $102,329.30 | $165,958.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,840.32 / $77,624.71 / $128,824.96
| Facility | | $28,840.32 | $77,624.71 | $128,824.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58,884.37 / $85,113.80 / $144,543.98
| Facility | | $58,884.37 | $85,113.80 | $144,543.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $77,624.71 / $97,723.72 / $141,253.75
| Facility | | $77,624.71 | $97,723.72 | $141,253.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $69,183.10 / $100,000.00 / $151,356.12
| Facility | | $69,183.10 | $100,000.00 | $151,356.12 |