- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,480.75 / $63,095.73 / $75,857.76
| Facility | | $52,480.75 | $63,095.73 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56,234.13 / $57,543.99 / $91,201.08
| Facility | | $56,234.13 | $57,543.99 | $91,201.08 |
- 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
- $50,118.72 / $64,565.42 / $102,329.30
| Facility | | $50,118.72 | $64,565.42 | $102,329.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,738.03 / $81,283.05 / $81,283.05
| Facility | | $40,738.03 | $81,283.05 | $81,283.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,480.75 / $72,443.60 / $107,151.93
| Facility | | $52,480.75 | $72,443.60 | $107,151.93 |