- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,699.20 / $53,699.20 / $63,644.10
| Facility | | $53,699.20 | $53,699.20 | $63,644.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,484.18 / $64,242.88 / $96,103.43
| Facility | | $39,484.18 | $64,242.88 | $96,103.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,919.32 / $54,359.45 / $92,486.31
| Facility | | $43,919.32 | $54,359.45 | $92,486.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,293.86 / $63,047.10 / $103,199.01
| Facility | | $39,293.86 | $63,047.10 | $103,199.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $580.83 / $36,657.94 / $52,660.06
| Facility | | $580.83 | $36,657.94 | $52,660.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,714.49 / $62,287.85 / $73,203.84
| Facility | | $44,714.49 | $62,287.85 | $73,203.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,354.81 / $66,439.09 / $83,751.89
| Facility | | $40,354.81 | $66,439.09 | $83,751.89 |