- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,977.88 / $67,608.30 / $93,325.43
| Facility | | $48,977.88 | $67,608.30 | $93,325.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,863.01 / $70,794.58 / $85,113.80
| Facility | | $47,863.01 | $70,794.58 | $85,113.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,651.58 / $63,095.73 / $85,113.80
| Facility | | $43,651.58 | $63,095.73 | $85,113.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,708.82 / $45,708.82 / $45,708.82
| Facility | | $45,708.82 | $45,708.82 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,964.78 / $61,659.50 / $75,857.76
| Facility | | $10,964.78 | $61,659.50 | $75,857.76 |