- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54,954.09 / $66,069.34 / $79,432.82
| Facility | | $54,954.09 | $66,069.34 | $79,432.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58,884.37 / $60,255.96 / $95,499.26
| Facility | | $58,884.37 | $60,255.96 | $95,499.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $151.36 / $151.36 / $151.36
| Facility | | $151.36 | $151.36 | $151.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,480.75 / $67,608.30 / $107,151.93
| Facility | | $52,480.75 | $67,608.30 | $107,151.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,738.03 / $89,125.09 / $89,125.09
| Facility | | $40,738.03 | $89,125.09 | $89,125.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54,954.09 / $75,857.76 / $112,201.85
| Facility | | $54,954.09 | $75,857.76 | $112,201.85 |