- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51,286.14 / $61,659.50 / $93,325.43
| Facility | | $51,286.14 | $61,659.50 | $93,325.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,708.82 / $66,069.34 / $79,432.82
| Facility | | $45,708.82 | $66,069.34 | $79,432.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,668.36 / $66,069.34 / $89,125.09
| Facility | | $44,668.36 | $66,069.34 | $89,125.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,673.69 / $34,673.69 / $34,673.69
| Facility | | $34,673.69 | $34,673.69 | $34,673.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,964.78 / $60,255.96 / $77,624.71
| Facility | | $10,964.78 | $60,255.96 | $77,624.71 |