- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63,095.73 / $107,151.93 / $114,815.36
| Facility | | $63,095.73 | $107,151.93 | $114,815.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70,794.58 / $107,151.93 / $151,356.12
| Facility | | $70,794.58 | $107,151.93 | $151,356.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,673.69 / $85,113.80 / $128,824.96
| Facility | | $34,673.69 | $85,113.80 | $128,824.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $75,857.76 / $117,489.76
| Facility | | $20,892.96 | $75,857.76 | $117,489.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,466.84 / $50,118.72 / $151,356.12
| Facility | | $4,466.84 | $50,118.72 | $151,356.12 |