- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51,286.14 / $61,659.50 / $74,131.02
| Facility | | $51,286.14 | $61,659.50 | $74,131.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54,954.09 / $54,954.09 / $89,125.09
| Facility | | $54,954.09 | $54,954.09 | $89,125.09 |
- 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
- $48,977.88 / $63,095.73 / $97,723.72
| Facility | | $48,977.88 | $63,095.73 | $97,723.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,686.94 / $97,723.72 / $97,723.72
| Facility | | $41,686.94 | $97,723.72 | $97,723.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51,286.14 / $70,794.58 / $104,712.85
| Facility | | $51,286.14 | $70,794.58 | $104,712.85 |