- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,118.72 / $50,118.72 / $50,118.72
| Facility | | $50,118.72 | $50,118.72 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51,286.14 / $85,113.80 / $131,825.67
| Facility | | $51,286.14 | $85,113.80 | $131,825.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $151,356.12 / $199,526.23 / $208,929.61
| Facility | | $151,356.12 | $199,526.23 | $208,929.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,118.72 / $50,118.72 / $112,201.85
| Facility | | $50,118.72 | $50,118.72 | $112,201.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51,286.14 / $77,624.71 / $120,226.44
| Facility | | $51,286.14 | $77,624.71 | $120,226.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58,884.37 / $74,131.02 / $81,283.05
| Facility | | $58,884.37 | $74,131.02 | $81,283.05 |