- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $117,489.76 / $117,489.76 / $117,489.76
| Facility | | $117,489.76 | $117,489.76 | $117,489.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,673.69 / $51,286.14 / $77,624.71
| Facility | | $34,673.69 | $51,286.14 | $77,624.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,902.95 / $40,738.03 / $66,069.34
| Facility | | $30,902.95 | $40,738.03 | $66,069.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,359.37 / $64,565.42 / $67,608.30
| Facility | | $32,359.37 | $64,565.42 | $67,608.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,153.52 / $37,153.52 / $67,608.30
| Facility | | $37,153.52 | $37,153.52 | $67,608.30 |