- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58,207.60 / $58,207.60 / $68,987.50
| Facility | | $58,207.60 | $58,207.60 | $68,987.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,375.16 / $68,946.64 / $103,139.99
| Facility | | $42,375.16 | $68,946.64 | $103,139.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,606.63 / $58,923.28 / $100,251.13
| Facility | | $47,606.63 | $58,923.28 | $100,251.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,592.83 / $68,340.31 / $111,863.23
| Facility | | $42,592.83 | $68,340.31 | $111,863.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $623.36 / $39,341.98 / $57,081.21
| Facility | | $623.36 | $39,341.98 | $57,081.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,468.56 / $67,517.32 / $79,349.78
| Facility | | $48,468.56 | $67,517.32 | $79,349.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,742.86 / $72,017.08 / $90,783.40
| Facility | | $43,742.86 | $72,017.08 | $90,783.40 |