- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,695.80 / $40,695.80 / $48,232.60
| Facility | | $40,695.80 | $40,695.80 | $48,232.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,765.15 / $48,429.49 / $72,447.57
| Facility | | $29,765.15 | $48,429.49 | $72,447.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,284.18 / $41,196.21 / $70,090.58
| Facility | | $33,284.18 | $41,196.21 | $70,090.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,778.78 / $47,780.13 / $78,209.17
| Facility | | $29,778.78 | $47,780.13 | $78,209.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $437.86 / $27,634.59 / $39,908.33
| Facility | | $437.86 | $27,634.59 | $39,908.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,886.79 / $47,204.73 / $55,477.40
| Facility | | $33,886.79 | $47,204.73 | $55,477.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,582.82 / $50,350.75 / $63,471.21
| Facility | | $30,582.82 | $50,350.75 | $63,471.21 |