- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,366.80 / $50,507.10 / $77,978.50
| Facility | | $34,366.80 | $50,507.10 | $77,978.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $119,814.45 / $170,334.13 / $218,377.09
| Facility | | $119,814.45 | $170,334.13 | $218,377.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,678.60 / $67,295.19 / $89,589.68
| Facility | | $38,678.60 | $67,295.19 | $89,589.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,366.80 / $51,660.00 / $82,606.50
| Facility | | $34,366.80 | $51,660.00 | $82,606.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,191.56 / $68,728.06 / $104,417.90
| Facility | | $40,191.56 | $68,728.06 | $104,417.90 |