- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,651.58 / $70,794.58 / $93,325.43
| Facility | | $43,651.58 | $70,794.58 | $93,325.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75,857.76 / $109,647.82 / $134,896.29
| Facility | | $75,857.76 | $109,647.82 | $134,896.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83,176.38 / $83,176.38 / $83,176.38
| Facility | | $83,176.38 | $83,176.38 | $83,176.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,668.36 / $66,069.34 / $87,096.36
| Facility | | $44,668.36 | $66,069.34 | $87,096.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83,176.38 / $83,176.38 / $83,176.38
| Facility | | $83,176.38 | $83,176.38 | $83,176.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,307.81 / $57,543.99 / $89,125.09
| Facility | | $36,307.81 | $57,543.99 | $89,125.09 |