- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,072.80 / $57,167.60 / $94,911.70
| Facility | | $36,072.80 | $57,167.60 | $94,911.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,956.36 / $56,213.63 / $95,227.04
| Facility | | $31,956.36 | $56,213.63 | $95,227.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49,276.66 / $62,490.30 / $93,957.00
| Facility | | $49,276.66 | $62,490.30 | $93,957.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,461.11 / $58,574.24 / $167,793.83
| Facility | | $29,461.11 | $58,574.24 | $167,793.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,461.11 / $58,446.81 / $82,144.11
| Facility | | $29,461.11 | $58,446.81 | $82,144.11 |