- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,234.40 / $50,875.20 / $85,897.60
| Facility | | $23,234.40 | $50,875.20 | $85,897.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56,442.07 / $83,756.13 / $108,605.92
| Facility | | $56,442.07 | $83,756.13 | $108,605.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,717.04 / $72,523.39 / $106,460.28
| Facility | | $50,717.04 | $72,523.39 | $106,460.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,320.51 / $71,712.28 / $150,382.92
| Facility | | $37,320.51 | $71,712.28 | $150,382.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,717.04 / $78,960.60 / $107,047.20
| Facility | | $50,717.04 | $78,960.60 | $107,047.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $65,066.36 / $100,392.52
| Facility | | $9,114.00 | $65,066.36 | $100,392.52 |