- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,999.54 / $54,561.90 / $90,585.60
| Facility | | $40,999.54 | $54,561.90 | $90,585.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,642.14 / $34,642.14 / $34,642.14
| Facility | | $34,642.14 | $34,642.14 | $34,642.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,213.60 / $50,844.74 / $85,935.12
| Facility | | $33,213.60 | $50,844.74 | $85,935.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,030.60 / $59,641.95 / $93,601.00
| Facility | | $47,030.60 | $59,641.95 | $93,601.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,118.26 / $55,904.39 / $148,518.04
| Facility | | $28,118.26 | $55,904.39 | $148,518.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,118.26 / $55,782.77 / $78,399.92
| Facility | | $28,118.26 | $55,782.77 | $78,399.92 |