- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,204.80 / $70,928.50 / $92,607.20
| Facility | | $34,204.80 | $70,928.50 | $92,607.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $64,772.29 / $173,447.51
| Facility | | $5,840.42 | $64,772.29 | $173,447.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,076.98 / $66,268.14 / $100,131.97
| Facility | | $40,076.98 | $66,268.14 | $100,131.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $94,107.60 / $94,107.60 / $94,107.60
| Facility | | $94,107.60 | $94,107.60 | $94,107.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57,743.09 / $66,759.20 / $103,091.88
| Facility | | $57,743.09 | $66,759.20 | $103,091.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $64,772.29 / $173,447.51
| Facility | | $5,840.42 | $64,772.29 | $173,447.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $64,772.29 / $135,550.76
| Facility | | $5,840.42 | $64,772.29 | $135,550.76 |