- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,703.18 / $75,857.76 / $117,489.76
| Facility | | $53,703.18 | $75,857.76 | $117,489.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,668.36 / $69,183.10 / $104,712.85
| Facility | | $44,668.36 | $69,183.10 | $104,712.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,118.72 / $81,283.05 / $120,226.44
| Facility | | $50,118.72 | $81,283.05 | $120,226.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,651.58 / $69,183.10 / $109,647.82
| Facility | | $43,651.58 | $69,183.10 | $109,647.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,622.78 / $50,118.72 / $85,113.80
| Facility | | $31,622.78 | $50,118.72 | $85,113.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,120.11 / $81,283.05 / $114,815.36
| Facility | | $9,120.11 | $81,283.05 | $114,815.36 |