- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,657.95 / $89,125.09 / $147,910.84
| Facility | | $42,657.95 | $89,125.09 | $147,910.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $81,283.05 / $218,776.16
| Facility | | $6,165.95 | $81,283.05 | $218,776.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,118.72 / $85,113.80 / $128,824.96
| Facility | | $50,118.72 | $85,113.80 | $128,824.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $125,892.54 / $125,892.54 / $125,892.54
| Facility | | $125,892.54 | $125,892.54 | $125,892.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $81,283.05 / $218,776.16
| Facility | | $6,165.95 | $81,283.05 | $218,776.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $81,283.05 / $218,776.16
| Facility | | $6,165.95 | $81,283.05 | $218,776.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $66,069.34 / $190,546.07
| Facility | | $6,165.95 | $66,069.34 | $190,546.07 |