- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56,043.60 / $56,043.60 / $66,422.80
| Facility | | $56,043.60 | $56,043.60 | $66,422.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,996.29 / $69,957.25 / $104,651.80
| Facility | | $42,996.29 | $69,957.25 | $104,651.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,836.77 / $56,732.70 / $96,524.12
| Facility | | $45,836.77 | $56,732.70 | $96,524.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,009.37 / $65,799.64 / $107,704.52
| Facility | | $41,009.37 | $65,799.64 | $107,704.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $632.50 / $39,918.65 / $57,034.15
| Facility | | $632.50 | $39,918.65 | $57,034.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,666.65 / $65,007.24 / $76,399.81
| Facility | | $46,666.65 | $65,007.24 | $76,399.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,116.64 / $69,339.72 / $87,408.37
| Facility | | $42,116.64 | $69,339.72 | $87,408.37 |