- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,668.36 / $52,480.75 / $95,499.26
| Facility | | $44,668.36 | $52,480.75 | $95,499.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,623.41 / $5,623.41 / $50,118.72
| Facility | | $5,623.41 | $5,623.41 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,877.62 / $51,286.14 / $87,096.36
| Facility | | $21,877.62 | $51,286.14 | $87,096.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,708.82 / $58,884.37 / $104,712.85
| Facility | | $45,708.82 | $58,884.37 | $104,712.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,183.83 / $54,954.09 / $87,096.36
| Facility | | $28,183.83 | $54,954.09 | $87,096.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,113.11 / $47,863.01 / $75,857.76
| Facility | | $33,113.11 | $47,863.01 | $75,857.76 |