- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,703.18 / $64,565.42 / $77,624.71
| Facility | | $53,703.18 | $64,565.42 | $77,624.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $151.36 / $151.36 / $151.36
| Facility | | $151.36 | $151.36 | $151.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51,286.14 / $66,069.34 / $104,712.85
| Facility | | $51,286.14 | $66,069.34 | $104,712.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,738.03 / $83,176.38 / $83,176.38
| Facility | | $40,738.03 | $83,176.38 | $83,176.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,703.18 / $74,131.02 / $112,201.85
| Facility | | $53,703.18 | $74,131.02 | $112,201.85 |