- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $81,283.05 / $120,226.44 / $154,881.66
| Facility | | $81,283.05 | $120,226.44 | $154,881.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,542.29 / $51,286.14 / $109,647.82
| Facility | | $27,542.29 | $51,286.14 | $109,647.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,657.95 / $58,884.37 / $109,647.82
| Facility | | $42,657.95 | $58,884.37 | $109,647.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,657.95 / $58,884.37 / $109,647.82
| Facility | | $42,657.95 | $58,884.37 | $109,647.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $75,857.76 / $120,226.44
| Facility | | $5,370.32 | $75,857.76 | $120,226.44 |