- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58,884.37 / $70,794.58 / $85,113.80
| Facility | | $58,884.37 | $70,794.58 | $85,113.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61,659.50 / $63,095.73 / $102,329.30
| Facility | | $61,659.50 | $63,095.73 | $102,329.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $151.36 / $151.36 / $151.36
| Facility | | $151.36 | $151.36 | $151.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56,234.13 / $72,443.60 / $112,201.85
| Facility | | $56,234.13 | $72,443.60 | $112,201.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,708.82 / $93,325.43 / $93,325.43
| Facility | | $45,708.82 | $93,325.43 | $93,325.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58,884.37 / $81,283.05 / $120,226.44
| Facility | | $58,884.37 | $81,283.05 | $120,226.44 |