- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,199.52 / $30,199.52 / $30,199.52
| Facility | | $30,199.52 | $30,199.52 | $30,199.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,542.29 / $44,668.36 / $70,794.58
| Facility | | $27,542.29 | $44,668.36 | $70,794.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $91,201.08 / $120,226.44 / $125,892.54
| Facility | | $91,201.08 | $120,226.44 | $125,892.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,199.52 / $30,199.52 / $67,608.30
| Facility | | $30,199.52 | $30,199.52 | $67,608.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,359.37 / $48,977.88 / $70,794.58
| Facility | | $32,359.37 | $48,977.88 | $70,794.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,673.69 / $44,668.36 / $47,863.01
| Facility | | $34,673.69 | $44,668.36 | $47,863.01 |