- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58,884.37 / $123,026.88 / $204,173.79
| Facility | | $58,884.37 | $123,026.88 | $204,173.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $112,201.85 / $301,995.17
| Facility | | $6,165.95 | $112,201.85 | $301,995.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $69,183.10 / $117,489.76 / $173,780.08
| Facility | | $69,183.10 | $117,489.76 | $173,780.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $169,824.37 / $169,824.37 / $169,824.37
| Facility | | $169,824.37 | $169,824.37 | $169,824.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $112,201.85 / $301,995.17
| Facility | | $6,165.95 | $112,201.85 | $301,995.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $112,201.85 / $301,995.17
| Facility | | $6,165.95 | $112,201.85 | $301,995.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $91,201.08 / $263,026.80
| Facility | | $6,165.95 | $91,201.08 | $263,026.80 |