- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80,146.50 / $80,146.50 / $94,989.50
| Facility | | $80,146.50 | $80,146.50 | $94,989.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $68,602.61 / $117,251.20 / $149,724.45
| Facility | | $68,602.61 | $117,251.20 | $149,724.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58,646.44 / $94,738.97 / $154,025.44
| Facility | | $58,646.44 | $94,738.97 | $154,025.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $825.56 / $52,103.56 / $74,443.46
| Facility | | $825.56 | $52,103.56 | $74,443.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66,736.77 / $92,965.17 / $109,257.39
| Facility | | $66,736.77 | $92,965.17 | $109,257.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60,229.92 / $99,525.00 / $125,000.44
| Facility | | $60,229.92 | $99,525.00 | $125,000.44 |