- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,083.90 / $44,033.90 / $77,486.89
| Facility | | $26,083.90 | $44,033.90 | $77,486.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,860.06 / $27,847.26 / $45,654.80
| Facility | | $18,860.06 | $27,847.26 | $45,654.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,727.36 / $39,915.56 / $54,767.70
| Facility | | $23,727.36 | $39,915.56 | $54,767.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $90,990.40 / $90,990.40 / $106,784.96
| Facility | | $90,990.40 | $90,990.40 | $106,784.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $38,375.15 / $54,814.51
| Facility | | $1,787.00 | $38,375.15 | $54,814.51 |