- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,037.50 / $53,269.10 / $89,939.50
| Facility | | $23,037.50 | $53,269.10 | $89,939.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,978.67 / $76,938.72 / $98,553.76
| Facility | | $50,978.67 | $76,938.72 | $98,553.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,103.52 / $75,935.97 / $111,469.75
| Facility | | $53,103.52 | $75,935.97 | $111,469.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,076.62 / $75,086.69 / $157,459.16
| Facility | | $39,076.62 | $75,086.69 | $157,459.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,103.52 / $82,676.07 / $112,084.28
| Facility | | $53,103.52 | $82,676.07 | $112,084.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $68,128.03 / $105,116.47
| Facility | | $9,114.00 | $68,128.03 | $105,116.47 |