- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,668.36 / $44,668.36 / $44,668.36
| Facility | | $44,668.36 | $44,668.36 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70,794.58 / $93,325.43 / $138,038.43
| Facility | | $70,794.58 | $93,325.43 | $138,038.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,904.51 / $58,884.37 / $95,499.26
| Facility | | $38,904.51 | $58,884.37 | $95,499.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,773.51 / $46,773.51 / $85,113.80
| Facility | | $46,773.51 | $46,773.51 | $85,113.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $54,954.09 / $162,181.01
| Facility | | $22,908.68 | $54,954.09 | $162,181.01 |