- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,679.80 / $44,956.10 / $58,696.50
| Facility | | $21,679.80 | $44,956.10 | $58,696.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $41,054.12 / $109,934.91
| Facility | | $5,840.42 | $41,054.12 | $109,934.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,401.68 / $42,002.24 / $63,465.88
| Facility | | $25,401.68 | $42,002.24 | $63,465.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $59,647.50 / $59,647.50 / $59,647.50
| Facility | | $59,647.50 | $59,647.50 | $59,647.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,598.86 / $42,313.47 / $65,341.93
| Facility | | $36,598.86 | $42,313.47 | $65,341.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $41,054.12 / $109,934.91
| Facility | | $5,840.42 | $41,054.12 | $109,934.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $41,054.12 / $85,915.10
| Facility | | $5,840.42 | $41,054.12 | $85,915.10 |