- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,429.20 / $61,025.60 / $79,677.60
| Facility | | $29,429.20 | $61,025.60 | $79,677.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $55,728.93 / $149,231.16
| Facility | | $5,840.42 | $55,728.93 | $149,231.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,481.51 / $57,015.94 / $86,151.77
| Facility | | $34,481.51 | $57,015.94 | $86,151.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80,968.50 / $80,968.50 / $80,968.50
| Facility | | $80,968.50 | $80,968.50 | $80,968.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49,681.13 / $57,438.43 / $88,698.42
| Facility | | $49,681.13 | $57,438.43 | $88,698.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $55,728.93 / $149,231.16
| Facility | | $5,840.42 | $55,728.93 | $149,231.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $56,515.22 / $129,882.90
| Facility | | $5,840.42 | $56,515.22 | $129,882.90 |