- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,153.52 / $37,153.52 / $37,153.52
| Facility | | $37,153.52 | $37,153.52 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,622.78 / $52,480.75 / $85,113.80
| Facility | | $31,622.78 | $52,480.75 | $85,113.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $112,201.85 / $147,910.84 / $154,881.66
| Facility | | $112,201.85 | $147,910.84 | $154,881.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,153.52 / $37,153.52 / $79,432.82
| Facility | | $37,153.52 | $37,153.52 | $79,432.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,018.94 / $57,543.99 / $85,113.80
| Facility | | $38,018.94 | $57,543.99 | $85,113.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,657.95 / $54,954.09 / $58,884.37
| Facility | | $42,657.95 | $54,954.09 | $58,884.37 |