- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $68,909.89 / $76,566.50 / $76,566.50
| Facility | | $68,909.89 | $76,566.50 | $76,566.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,048.43 / $42,048.43 / $42,048.43
| Facility | | $42,048.43 | $42,048.43 | $42,048.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,118.03 / $39,839.56 / $74,376.27
| Facility | | $24,118.03 | $39,839.56 | $74,376.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,942.00 / $85,399.31 / $132,486.85
| Facility | | $19,942.00 | $85,399.31 | $132,486.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $62,935.40 / $114,388.51 / $147,694.72
| Facility | | $62,935.40 | $114,388.51 | $147,694.72 |