- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,738.03 / $52,480.75 / $60,255.96
| Facility | | $40,738.03 | $52,480.75 | $60,255.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58,884.37 / $58,884.37 / $58,884.37
| Facility | | $58,884.37 | $58,884.37 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,810.72 / $46,773.51 / $56,234.13
| Facility | | $39,810.72 | $46,773.51 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,153.52 / $60,255.96 / $75,857.76
| Facility | | $37,153.52 | $60,255.96 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $67,608.30 / $67,608.30 / $67,608.30
| Facility | | $67,608.30 | $67,608.30 | $67,608.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,862.09 / $60,255.96 / $77,624.71
| Facility | | $1,862.09 | $60,255.96 | $77,624.71 |