- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,083.50 / $43,975.70 / $74,248.50
| Facility | | $20,083.50 | $43,975.70 | $74,248.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,840.61 / $72,202.66 / $92,487.16
| Facility | | $47,840.61 | $72,202.66 | $92,487.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,838.98 / $62,688.03 / $92,022.52
| Facility | | $43,838.98 | $62,688.03 | $92,022.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,259.24 / $61,986.92 / $129,988.52
| Facility | | $32,259.24 | $61,986.92 | $129,988.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,086.92 / $23,086.92 / $23,086.92
| Facility | | $23,086.92 | $23,086.92 | $23,086.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,838.98 / $68,252.24 / $92,529.84
| Facility | | $43,838.98 | $68,252.24 | $92,529.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $57,723.88 / $85,848.81
| Facility | | $9,114.00 | $57,723.88 | $85,848.81 |