- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58,827.20 / $58,827.20 / $69,721.80
| Facility | | $58,827.20 | $58,827.20 | $69,721.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,427.12 / $67,404.14 / $100,832.48
| Facility | | $41,427.12 | $67,404.14 | $100,832.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,113.36 / $59,550.46 / $101,318.21
| Facility | | $48,113.36 | $59,550.46 | $101,318.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,046.20 / $69,067.72 / $113,053.91
| Facility | | $43,046.20 | $69,067.72 | $113,053.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $609.41 / $38,461.80 / $57,688.79
| Facility | | $609.41 | $38,461.80 | $57,688.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,984.46 / $68,235.98 / $80,194.38
| Facility | | $48,984.46 | $68,235.98 | $80,194.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,208.46 / $74,134.42 / $97,594.08
| Facility | | $44,208.46 | $74,134.42 | $97,594.08 |