- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,810.72 / $47,863.01 / $57,543.99
| Facility | | $39,810.72 | $47,863.01 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,657.95 / $42,657.95 / $69,183.10
| Facility | | $42,657.95 | $42,657.95 | $69,183.10 |
- 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
- $38,018.94 / $48,977.88 / $75,857.76
| Facility | | $38,018.94 | $48,977.88 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,512.09 / $61,659.50 / $61,659.50
| Facility | | $29,512.09 | $61,659.50 | $61,659.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,810.72 / $54,954.09 / $81,283.05
| Facility | | $39,810.72 | $54,954.09 | $81,283.05 |