- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,668.36 / $72,443.60 / $95,499.26
| Facility | | $44,668.36 | $72,443.60 | $95,499.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70,794.58 / $102,329.30 / $125,892.54
| Facility | | $70,794.58 | $102,329.30 | $125,892.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85,113.80 / $85,113.80 / $85,113.80
| Facility | | $85,113.80 | $85,113.80 | $85,113.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,708.82 / $66,069.34 / $89,125.09
| Facility | | $45,708.82 | $66,069.34 | $89,125.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85,113.80 / $85,113.80 / $85,113.80
| Facility | | $85,113.80 | $85,113.80 | $85,113.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,810.72 / $60,255.96 / $97,723.72
| Facility | | $39,810.72 | $60,255.96 | $97,723.72 |