- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58,884.37 / $83,176.38 / $128,824.96
| Facility | | $58,884.37 | $83,176.38 | $128,824.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,863.01 / $69,183.10 / $107,151.93
| Facility | | $47,863.01 | $69,183.10 | $107,151.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,703.18 / $87,096.36 / $128,824.96
| Facility | | $53,703.18 | $87,096.36 | $128,824.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,773.51 / $72,443.60 / $114,815.36
| Facility | | $46,773.51 | $72,443.60 | $114,815.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,884.42 / $53,703.18 / $91,201.08
| Facility | | $33,884.42 | $53,703.18 | $91,201.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,709.64 / $87,096.36 / $123,026.88
| Facility | | $8,709.64 | $87,096.36 | $123,026.88 |