- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,651.58 / $52,480.75 / $63,095.73
| Facility | | $43,651.58 | $52,480.75 | $63,095.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,773.51 / $47,863.01 / $75,857.76
| Facility | | $46,773.51 | $47,863.01 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $151.36 / $151.36 / $151.36
| Facility | | $151.36 | $151.36 | $151.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,686.94 / $53,703.18 / $85,113.80
| Facility | | $41,686.94 | $53,703.18 | $85,113.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,113.11 / $69,183.10 / $69,183.10
| Facility | | $33,113.11 | $69,183.10 | $69,183.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,651.58 / $60,255.96 / $89,125.09
| Facility | | $43,651.58 | $60,255.96 | $89,125.09 |