- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,810.72 / $39,810.72 / $39,810.72
| Facility | | $39,810.72 | $39,810.72 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,359.37 / $52,480.75 / $93,325.43
| Facility | | $32,359.37 | $52,480.75 | $93,325.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $120,226.44 / $158,489.32 / $165,958.69
| Facility | | $120,226.44 | $158,489.32 | $165,958.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,810.72 / $74,131.02 / $93,325.43
| Facility | | $39,810.72 | $74,131.02 | $93,325.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,668.36 / $63,095.73 / $93,325.43
| Facility | | $44,668.36 | $63,095.73 | $93,325.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,773.51 / $63,095.73 / $93,325.43
| Facility | | $46,773.51 | $63,095.73 | $93,325.43 |