- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,430.80 / $43,252.90 / $66,778.70
| Facility | | $29,430.80 | $43,252.90 | $66,778.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $124,683.92 / $177,256.82 / $227,252.33
| Facility | | $124,683.92 | $177,256.82 | $227,252.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,123.29 / $57,629.76 / $76,722.14
| Facility | | $33,123.29 | $57,629.76 | $76,722.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,430.80 / $44,240.20 / $70,742.00
| Facility | | $29,430.80 | $44,240.20 | $70,742.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,418.94 / $58,856.83 / $89,420.63
| Facility | | $34,418.94 | $58,856.83 | $89,420.63 |