- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,713.60 / $53,956.20 / $83,303.60
| Facility | | $36,713.60 | $53,956.20 | $83,303.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $73,034.03 / $103,828.77 / $133,113.81
| Facility | | $73,034.03 | $103,828.77 | $133,113.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $77.88 / $70,055.03 / $95,449.62
| Facility | | $77.88 | $70,055.03 | $95,449.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,713.60 / $55,187.80 / $88,247.60
| Facility | | $36,713.60 | $55,187.80 | $88,247.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,936.20 / $73,421.42 / $111,548.50
| Facility | | $42,936.20 | $73,421.42 | $111,548.50 |