- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $69,183.10 / $102,329.30 / $131,825.67
| Facility | | $69,183.10 | $102,329.30 | $131,825.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,442.29 / $43,651.58 / $93,325.43
| Facility | | $23,442.29 | $43,651.58 | $93,325.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,307.81 / $50,118.72 / $91,201.08
| Facility | | $36,307.81 | $50,118.72 | $91,201.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,307.81 / $50,118.72 / $91,201.08
| Facility | | $36,307.81 | $50,118.72 | $91,201.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $63,095.73 / $102,329.30
| Facility | | $5,370.32 | $63,095.73 | $102,329.30 |