- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $77,471.80 / $86,079.80 / $86,079.80
| Facility | | $77,471.80 | $86,079.80 | $86,079.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,752.58 / $45,362.59 / $50,501.68
| Facility | | $27,752.58 | $45,362.59 | $50,501.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,374.75 / $60,559.06 / $118,971.80
| Facility | | $37,374.75 | $60,559.06 | $118,971.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,309.00 / $97,176.83 / $148,948.18
| Facility | | $33,309.00 | $97,176.83 | $148,948.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,417.76 / $109,177.63 / $166,045.60
| Facility | | $37,417.76 | $109,177.63 | $166,045.60 |