- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,199.52 / $47,863.01 / $128,824.96
| Facility | | $30,199.52 | $47,863.01 | $128,824.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,673.69 / $48,977.88 / $77,624.71
| Facility | | $34,673.69 | $48,977.88 | $77,624.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,738.03 / $63,095.73 / $83,176.38
| Facility | | $40,738.03 | $63,095.73 | $83,176.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $186,208.71 / $186,208.71 / $186,208.71
| Facility | | $186,208.71 | $186,208.71 | $186,208.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,801.89 / $57,543.99 / $97,723.72
| Facility | | $3,801.89 | $57,543.99 | $97,723.72 |