- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63,368.60 / $63,368.60 / $75,104.30
| Facility | | $63,368.60 | $63,368.60 | $75,104.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,784.49 / $72,866.75 / $109,004.22
| Facility | | $44,784.49 | $72,866.75 | $109,004.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51,827.73 / $64,147.78 / $109,140.01
| Facility | | $51,827.73 | $64,147.78 | $109,140.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,369.38 / $74,399.78 / $121,781.71
| Facility | | $46,369.38 | $74,399.78 | $121,781.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $658.80 / $41,578.85 / $62,142.38
| Facility | | $658.80 | $41,578.85 | $62,142.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,766.08 / $73,503.82 / $86,385.41
| Facility | | $52,766.08 | $73,503.82 | $86,385.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,621.37 / $78,402.56 / $98,832.81
| Facility | | $47,621.37 | $78,402.56 | $98,832.81 |