- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,557.60 / $50,464.40 / $66,327.50
| Facility | | $34,557.60 | $50,464.40 | $66,327.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,463.91 / $36,463.91 / $36,463.91
| Facility | | $36,463.91 | $36,463.91 | $36,463.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,170.95 / $41,316.23 / $69,880.83
| Facility | | $15,170.95 | $41,316.23 | $69,880.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,373.47 / $50,922.23 / $90,830.88
| Facility | | $36,373.47 | $50,922.23 | $90,830.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,468.75 / $56,569.18 / $82,595.61
| Facility | | $43,468.75 | $56,569.18 | $82,595.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,468.75 / $52,588.59 / $82,595.61
| Facility | | $43,468.75 | $52,588.59 | $82,595.61 |