- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,988.33 / $120,226.44 / $141,253.75
| Facility | | $23,988.33 | $120,226.44 | $141,253.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $87,096.36 / $128,824.96 / $181,970.09
| Facility | | $87,096.36 | $128,824.96 | $181,970.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,218.10 / $104,712.85 / $165,958.69
| Facility | | $16,218.10 | $104,712.85 | $165,958.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $93,325.43 / $141,253.75
| Facility | | $15,488.17 | $93,325.43 | $141,253.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,073.80 / $123,026.88 / $186,208.71
| Facility | | $4,073.80 | $123,026.88 | $186,208.71 |