- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60,255.96 / $75,857.76 / $117,489.76
| Facility | | $60,255.96 | $75,857.76 | $117,489.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,481.34 / $35,481.34 / $35,481.34
| Facility | | $35,481.34 | $35,481.34 | $35,481.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,621.81 / $60,255.96 / $95,499.26
| Facility | | $1,621.81 | $60,255.96 | $95,499.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66,069.34 / $91,201.08 / $114,815.36
| Facility | | $66,069.34 | $91,201.08 | $114,815.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,668.36 / $83,176.38 / $128,824.96
| Facility | | $44,668.36 | $83,176.38 | $128,824.96 |