- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $79,432.82 / $151,356.12
| Facility | | $20,892.96 | $79,432.82 | $151,356.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85,113.80 / $128,824.96 / $158,489.32
| Facility | | $85,113.80 | $128,824.96 | $158,489.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70,794.58 / $109,647.82 / $141,253.75
| Facility | | $70,794.58 | $109,647.82 | $141,253.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,118.72 / $93,325.43 / $239,883.29
| Facility | | $50,118.72 | $93,325.43 | $239,883.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,332.54 / $75,857.76 / $131,825.67
| Facility | | $9,332.54 | $75,857.76 | $131,825.67 |