- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,473.50 / $56,217.70 / $76,770.20
| Facility | | $31,473.50 | $56,217.70 | $76,770.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,459.92 / $8,459.92 / $8,639.91
| Facility | | $8,459.92 | $8,459.92 | $8,639.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,781.71 / $52,056.97 / $77,351.31
| Facility | | $29,781.71 | $52,056.97 | $77,351.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56,661.25 / $56,661.25 / $68,802.95
| Facility | | $56,661.25 | $56,661.25 | $68,802.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,009.30 / $56,217.70 / $75,972.39
| Facility | | $31,009.30 | $56,217.70 | $75,972.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,016.30 / $46,032.54 / $72,485.69
| Facility | | $28,016.30 | $46,032.54 | $72,485.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,992.93 / $42,521.73 / $78,620.14
| Facility | | $15,992.93 | $42,521.73 | $78,620.14 |