- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,753.30 / $53,753.30 / $63,708.30
| Facility | | $53,753.30 | $53,753.30 | $63,708.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,908.02 / $69,813.64 / $104,436.96
| Facility | | $42,908.02 | $69,813.64 | $104,436.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,963.60 / $54,414.26 / $92,579.55
| Facility | | $43,963.60 | $54,414.26 | $92,579.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,333.48 / $63,110.66 / $103,303.05
| Facility | | $39,333.48 | $63,110.66 | $103,303.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $631.20 / $39,836.69 / $56,917.06
| Facility | | $631.20 | $39,836.69 | $56,917.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,759.57 / $62,350.65 / $73,277.64
| Facility | | $44,759.57 | $62,350.65 | $73,277.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,395.50 / $66,506.07 / $83,836.32
| Facility | | $40,395.50 | $66,506.07 | $83,836.32 |