- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,988.33 / $50,118.72 / $83,176.38
| Facility | | $23,988.33 | $50,118.72 | $83,176.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $45,708.82 / $208,929.61
| Facility | | $6,165.95 | $45,708.82 | $208,929.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,183.83 / $47,863.01 / $70,794.58
| Facility | | $28,183.83 | $47,863.01 | $70,794.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66,069.34 / $66,069.34 / $66,069.34
| Facility | | $66,069.34 | $66,069.34 | $66,069.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $45,708.82 / $120,226.44
| Facility | | $6,165.95 | $45,708.82 | $120,226.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $45,708.82 / $208,929.61
| Facility | | $6,165.95 | $45,708.82 | $208,929.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $37,153.52 / $120,226.44
| Facility | | $6,165.95 | $37,153.52 | $120,226.44 |