- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85,113.80 / $109,647.82 / $165,958.69
| Facility | | $85,113.80 | $109,647.82 | $165,958.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,480.75 / $52,480.75 / $52,480.75
| Facility | | $52,480.75 | $52,480.75 | $52,480.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,918.31 / $104,712.85 / $158,489.32
| Facility | | $6,918.31 | $104,712.85 | $158,489.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63,095.73 / $87,096.36 / $162,181.01
| Facility | | $63,095.73 | $87,096.36 | $162,181.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,467.37 / $67,608.30 / $131,825.67
| Facility | | $3,467.37 | $67,608.30 | $131,825.67 |