- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,640.30 / $43,640.30 / $51,722.30
| Facility | | $43,640.30 | $43,640.30 | $51,722.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,960.90 / $52,002.09 / $77,791.95
| Facility | | $31,960.90 | $52,002.09 | $77,791.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,692.37 / $44,176.86 / $75,161.80
| Facility | | $35,692.37 | $44,176.86 | $75,161.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,933.35 / $51,237.13 / $83,867.80
| Facility | | $31,933.35 | $51,237.13 | $83,867.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $470.16 / $29,673.16 / $42,795.79
| Facility | | $470.16 | $29,673.16 | $42,795.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,338.58 / $50,620.11 / $59,491.32
| Facility | | $36,338.58 | $50,620.11 | $59,491.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,795.56 / $53,993.74 / $68,063.50
| Facility | | $32,795.56 | $53,993.74 | $68,063.50 |