- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,136.70 / $61,926.10 / $95,608.50
| Facility | | $42,136.70 | $61,926.10 | $95,608.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $122,636.44 / $174,346.01 / $223,520.52
| Facility | | $122,636.44 | $174,346.01 | $223,520.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,619.54 / $82,509.82 / $109,844.82
| Facility | | $45,619.54 | $82,509.82 | $109,844.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,136.70 / $63,339.70 / $101,283.00
| Facility | | $42,136.70 | $63,339.70 | $101,283.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49,278.38 / $84,266.64 / $128,025.52
| Facility | | $49,278.38 | $84,266.64 | $128,025.52 |