- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56,234.13 / $67,608.30 / $81,283.05
| Facility | | $56,234.13 | $67,608.30 | $81,283.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60,255.96 / $61,659.50 / $97,723.72
| Facility | | $60,255.96 | $61,659.50 | $97,723.72 |
- 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
- $53,703.18 / $69,183.10 / $109,647.82
| Facility | | $53,703.18 | $69,183.10 | $109,647.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,651.58 / $93,325.43 / $93,325.43
| Facility | | $43,651.58 | $93,325.43 | $93,325.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56,234.13 / $77,624.71 / $117,489.76
| Facility | | $56,234.13 | $77,624.71 | $117,489.76 |