- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,651.58 / $87,096.36 / $114,815.36
| Facility | | $43,651.58 | $87,096.36 | $114,815.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,708.82 / $67,608.30 / $109,647.82
| Facility | | $45,708.82 | $67,608.30 | $109,647.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,686.94 / $87,096.36 / $123,026.88
| Facility | | $41,686.94 | $87,096.36 | $123,026.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,943.28 / $63,095.73 / $134,896.29
| Facility | | $7,943.28 | $63,095.73 | $134,896.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,456.54 / $61,659.50 / $128,824.96
| Facility | | $6,456.54 | $61,659.50 | $128,824.96 |