- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,738.03 / $63,095.73 / $120,226.44
| Facility | | $40,738.03 | $63,095.73 | $120,226.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,668.36 / $47,863.01 / $53,703.18
| Facility | | $44,668.36 | $47,863.01 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,673.69 / $53,703.18 / $85,113.80
| Facility | | $34,673.69 | $53,703.18 | $85,113.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,589.25 / $37,153.52 / $85,113.80
| Facility | | $12,589.25 | $37,153.52 | $85,113.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,512.09 / $60,255.96 / $83,176.38
| Facility | | $29,512.09 | $60,255.96 | $83,176.38 |