- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,738.10 / $71,172.10 / $93,544.70
| Facility | | $48,738.10 | $71,172.10 | $93,544.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49,097.54 / $49,097.54 / $49,097.54
| Facility | | $49,097.54 | $49,097.54 | $49,097.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,438.36 / $50,214.59 / $84,931.22
| Facility | | $18,438.36 | $50,214.59 | $84,931.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51,299.12 / $71,817.89 / $128,102.83
| Facility | | $51,299.12 | $71,817.89 | $128,102.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61,305.92 / $79,782.03 / $116,488.27
| Facility | | $61,305.92 | $79,782.03 | $116,488.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61,305.92 / $74,168.03 / $116,488.27
| Facility | | $61,305.92 | $74,168.03 | $116,488.27 |