- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75,857.76 / $91,201.08 / $109,647.82
| Facility | | $75,857.76 | $91,201.08 | $109,647.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $81,283.05 / $83,176.38 / $131,825.67
| Facility | | $81,283.05 | $83,176.38 | $131,825.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $151.36 / $151.36 / $151.36
| Facility | | $151.36 | $151.36 | $151.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72,443.60 / $93,325.43 / $147,910.84
| Facility | | $72,443.60 | $93,325.43 | $147,910.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60,255.96 / $131,825.67 / $131,825.67
| Facility | | $60,255.96 | $131,825.67 | $131,825.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75,857.76 / $104,712.85 / $154,881.66
| Facility | | $75,857.76 | $104,712.85 | $154,881.66 |