- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $58,884.37 / $95,499.26
| Facility | | $17,782.79 | $58,884.37 | $95,499.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $74,131.02 / $104,712.85 / $141,253.75
| Facility | | $74,131.02 | $104,712.85 | $141,253.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70,794.58 / $85,113.80 / $120,226.44
| Facility | | $70,794.58 | $85,113.80 | $120,226.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,480.75 / $85,113.80 / $114,815.36
| Facility | | $52,480.75 | $85,113.80 | $114,815.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,480.75 / $79,432.82 / $120,226.44
| Facility | | $52,480.75 | $79,432.82 | $120,226.44 |