- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,668.36 / $44,668.36 / $44,668.36
| Facility | | $44,668.36 | $44,668.36 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,651.58 / $70,794.58 / $112,201.85
| Facility | | $43,651.58 | $70,794.58 | $112,201.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $134,896.29 / $177,827.94 / $186,208.71
| Facility | | $134,896.29 | $177,827.94 | $186,208.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,668.36 / $44,668.36 / $95,499.26
| Facility | | $44,668.36 | $44,668.36 | $95,499.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,708.82 / $66,069.34 / $97,723.72
| Facility | | $45,708.82 | $66,069.34 | $97,723.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51,286.14 / $66,069.34 / $70,794.58
| Facility | | $51,286.14 | $66,069.34 | $70,794.58 |