- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $64,565.42 / $104,712.85
| Facility | | $17,782.79 | $64,565.42 | $104,712.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $81,283.05 / $114,815.36 / $154,881.66
| Facility | | $81,283.05 | $114,815.36 | $154,881.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $77,624.71 / $93,325.43 / $131,825.67
| Facility | | $77,624.71 | $93,325.43 | $131,825.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57,543.99 / $93,325.43 / $125,892.54
| Facility | | $57,543.99 | $93,325.43 | $125,892.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57,543.99 / $87,096.36 / $131,825.67
| Facility | | $57,543.99 | $87,096.36 | $131,825.67 |