- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $69,183.10 / $114,815.36 / $123,026.88
| Facility | | $69,183.10 | $114,815.36 | $123,026.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $77,624.71 / $114,815.36 / $162,181.01
| Facility | | $77,624.71 | $114,815.36 | $162,181.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,673.69 / $93,325.43 / $147,910.84
| Facility | | $34,673.69 | $93,325.43 | $147,910.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $85,113.80 / $131,825.67
| Facility | | $20,892.96 | $85,113.80 | $131,825.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,073.80 / $109,647.82 / $165,958.69
| Facility | | $4,073.80 | $109,647.82 | $165,958.69 |