- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,523.30 / $53,523.30 / $63,435.60
| Facility | | $53,523.30 | $53,523.30 | $63,435.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,776.57 / $66,345.66 / $99,249.06
| Facility | | $40,776.57 | $66,345.66 | $99,249.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,775.42 / $54,181.35 / $92,183.28
| Facility | | $43,775.42 | $54,181.35 | $92,183.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,165.12 / $62,840.52 / $102,860.88
| Facility | | $39,165.12 | $62,840.52 | $102,860.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $599.84 / $37,857.81 / $54,089.71
| Facility | | $599.84 | $37,857.81 | $54,089.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,567.98 / $62,083.77 / $72,963.99
| Facility | | $44,567.98 | $62,083.77 | $72,963.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,222.58 / $66,221.41 / $83,477.48
| Facility | | $40,222.58 | $66,221.41 | $83,477.48 |