- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,113.11 / $52,480.75 / $141,253.75
| Facility | | $33,113.11 | $52,480.75 | $141,253.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,738.03 / $58,884.37 / $93,325.43
| Facility | | $40,738.03 | $58,884.37 | $93,325.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,668.36 / $69,183.10 / $91,201.08
| Facility | | $44,668.36 | $69,183.10 | $91,201.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $204,173.79 / $204,173.79 / $204,173.79
| Facility | | $204,173.79 | $204,173.79 | $204,173.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,801.89 / $63,095.73 / $107,151.93
| Facility | | $3,801.89 | $63,095.73 | $107,151.93 |