- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $39,810.72 / $72,443.60
| Facility | | $24,547.09 | $39,810.72 | $72,443.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,481.34 / $51,286.14 / $81,283.05
| Facility | | $35,481.34 | $51,286.14 | $81,283.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $36,307.81 / $46,773.51
| Facility | | $22,908.68 | $36,307.81 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $104,712.85 / $104,712.85 / $104,712.85
| Facility | | $104,712.85 | $104,712.85 | $104,712.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,801.89 / $41,686.94 / $69,183.10
| Facility | | $3,801.89 | $41,686.94 | $69,183.10 |