- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,622.78 / $50,118.72 / $134,896.29
| Facility | | $31,622.78 | $50,118.72 | $134,896.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,810.72 / $57,543.99 / $91,201.08
| Facility | | $39,810.72 | $57,543.99 | $91,201.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,657.95 / $66,069.34 / $87,096.36
| Facility | | $42,657.95 | $66,069.34 | $87,096.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $194,984.46 / $194,984.46 / $194,984.46
| Facility | | $194,984.46 | $194,984.46 | $194,984.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,951.21 / $69,183.10 / $107,151.93
| Facility | | $2,951.21 | $69,183.10 | $107,151.93 |