- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66,069.34 / $97,723.72 / $125,892.54
| Facility | | $66,069.34 | $97,723.72 | $125,892.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,387.21 / $41,686.94 / $89,125.09
| Facility | | $22,387.21 | $41,686.94 | $89,125.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,673.69 / $47,863.01 / $89,125.09
| Facility | | $34,673.69 | $47,863.01 | $89,125.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,673.69 / $47,863.01 / $89,125.09
| Facility | | $34,673.69 | $47,863.01 | $89,125.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $60,255.96 / $97,723.72
| Facility | | $5,370.32 | $60,255.96 | $97,723.72 |