- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,512.09 / $61,659.50 / $102,329.30
| Facility | | $29,512.09 | $61,659.50 | $102,329.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $56,234.13 / $147,910.84
| Facility | | $6,165.95 | $56,234.13 | $147,910.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,673.69 / $58,884.37 / $87,096.36
| Facility | | $34,673.69 | $58,884.37 | $87,096.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85,113.80 / $85,113.80 / $85,113.80
| Facility | | $85,113.80 | $85,113.80 | $85,113.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $56,234.13 / $147,910.84
| Facility | | $6,165.95 | $56,234.13 | $147,910.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $56,234.13 / $147,910.84
| Facility | | $6,165.95 | $56,234.13 | $147,910.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $44,668.36 / $128,824.96
| Facility | | $6,165.95 | $44,668.36 | $128,824.96 |