- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,863.01 / $47,863.01 / $47,863.01
| Facility | | $47,863.01 | $47,863.01 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,018.94 / $64,565.42 / $107,151.93
| Facility | | $38,018.94 | $64,565.42 | $107,151.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $144,543.98 / $190,546.07 / $199,526.23
| Facility | | $144,543.98 | $190,546.07 | $199,526.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,863.01 / $47,863.01 / $104,712.85
| Facility | | $47,863.01 | $47,863.01 | $104,712.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,118.72 / $75,857.76 / $109,647.82
| Facility | | $50,118.72 | $75,857.76 | $109,647.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56,234.13 / $70,794.58 / $77,624.71
| Facility | | $56,234.13 | $70,794.58 | $77,624.71 |