- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61,659.50 / $104,712.85 / $112,201.85
| Facility | | $61,659.50 | $104,712.85 | $112,201.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $69,183.10 / $102,329.30 / $144,543.98
| Facility | | $69,183.10 | $102,329.30 | $144,543.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,218.10 / $83,176.38 / $131,825.67
| Facility | | $16,218.10 | $83,176.38 | $131,825.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $74,131.02 / $112,201.85
| Facility | | $15,488.17 | $74,131.02 | $112,201.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,073.80 / $97,723.72 / $147,910.84
| Facility | | $4,073.80 | $97,723.72 | $147,910.84 |