- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,781.70 / $47,781.70 / $56,630.80
| Facility | | $47,781.70 | $47,781.70 | $56,630.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,470.76 / $62,593.99 / $93,636.79
| Facility | | $38,470.76 | $62,593.99 | $93,636.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,079.57 / $48,369.24 / $82,294.66
| Facility | | $39,079.57 | $48,369.24 | $82,294.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,963.82 / $56,099.54 / $91,826.86
| Facility | | $34,963.82 | $56,099.54 | $91,826.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $565.91 / $35,717.06 / $51,031.08
| Facility | | $565.91 | $35,717.06 | $51,031.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,787.12 / $55,423.96 / $65,137.05
| Facility | | $39,787.12 | $55,423.96 | $65,137.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,907.86 / $59,117.75 / $74,522.74
| Facility | | $35,907.86 | $59,117.75 | $74,522.74 |