- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54,954.09 / $83,176.38 / $134,896.29
| Facility | | $54,954.09 | $83,176.38 | $134,896.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,512.09 / $57,543.99 / $97,723.72
| Facility | | $29,512.09 | $57,543.99 | $97,723.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,118.72 / $83,176.38 / $158,489.32
| Facility | | $50,118.72 | $83,176.38 | $158,489.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $204,173.79 / $204,173.79 / $204,173.79
| Facility | | $204,173.79 | $204,173.79 | $204,173.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,622.78 / $77,624.71 / $134,896.29
| Facility | | $31,622.78 | $77,624.71 | $134,896.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,977.88 / $70,794.58 / $173,780.08
| Facility | | $48,977.88 | $70,794.58 | $173,780.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,387.21 / $70,794.58 / $158,489.32
| Facility | | $22,387.21 | $70,794.58 | $158,489.32 |