- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $74,012.50 / $74,012.50 / $87,719.50
| Facility | | $74,012.50 | $74,012.50 | $87,719.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54,887.09 / $89,304.23 / $133,593.69
| Facility | | $54,887.09 | $89,304.23 | $133,593.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60,533.12 / $74,922.55 / $127,472.03
| Facility | | $60,533.12 | $74,922.55 | $127,472.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54,157.94 / $86,896.55 / $142,237.13
| Facility | | $54,157.94 | $86,896.55 | $142,237.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $807.42 / $50,958.32 / $72,807.17
| Facility | | $807.42 | $50,958.32 | $72,807.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61,629.08 / $85,850.10 / $100,895.39
| Facility | | $61,629.08 | $85,850.10 | $100,895.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55,620.23 / $91,571.67 / $115,433.55
| Facility | | $55,620.23 | $91,571.67 | $115,433.55 |