- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80,194.60 / $80,194.60 / $95,046.50
| Facility | | $80,194.60 | $80,194.60 | $95,046.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57,718.13 / $93,910.49 / $140,484.37
| Facility | | $57,718.13 | $93,910.49 | $140,484.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $65,589.33 / $81,180.67 / $138,119.51
| Facility | | $65,589.33 | $81,180.67 | $138,119.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58,681.65 / $94,154.85 / $154,117.92
| Facility | | $58,681.65 | $94,154.85 | $154,117.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $849.06 / $53,586.71 / $78,642.80
| Facility | | $849.06 | $53,586.71 | $78,642.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66,776.84 / $93,020.99 / $109,322.99
| Facility | | $66,776.84 | $93,020.99 | $109,322.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60,266.08 / $99,220.48 / $125,075.49
| Facility | | $60,266.08 | $99,220.48 | $125,075.49 |