- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51,286.14 / $77,624.71 / $128,824.96
| Facility | | $51,286.14 | $77,624.71 | $128,824.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,977.88 / $48,977.88 / $48,977.88
| Facility | | $48,977.88 | $48,977.88 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,668.36 / $61,659.50 / $102,329.30
| Facility | | $44,668.36 | $61,659.50 | $102,329.30 |
- 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
- $40,738.03 / $66,069.34 / $95,499.26
| Facility | | $40,738.03 | $66,069.34 | $95,499.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,651.58 / $61,659.50 / $81,283.05
| Facility | | $43,651.58 | $61,659.50 | $81,283.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,988.33 / $69,183.10 / $97,723.72
| Facility | | $23,988.33 | $69,183.10 | $97,723.72 |