- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,708.82 / $63,095.73 / $125,892.54
| Facility | | $45,708.82 | $63,095.73 | $125,892.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,977.88 / $48,977.88 / $48,977.88
| Facility | | $48,977.88 | $48,977.88 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $151,356.12 / $151,356.12 / $151,356.12
| Facility | | $151,356.12 | $151,356.12 | $151,356.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,773.51 / $61,659.50 / $112,201.85
| Facility | | $46,773.51 | $61,659.50 | $112,201.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,542.29 / $54,954.09 / $75,857.76
| Facility | | $27,542.29 | $54,954.09 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,542.29 / $54,954.09 / $79,432.82
| Facility | | $27,542.29 | $54,954.09 | $79,432.82 |