- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,884.42 / $70,794.58 / $117,489.76
| Facility | | $33,884.42 | $70,794.58 | $117,489.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $66,069.34 / $173,780.08
| Facility | | $6,165.95 | $66,069.34 | $173,780.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,810.72 / $67,608.30 / $102,329.30
| Facility | | $39,810.72 | $67,608.30 | $102,329.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $97,723.72 / $97,723.72 / $97,723.72
| Facility | | $97,723.72 | $97,723.72 | $97,723.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $64,565.42 / $173,780.08
| Facility | | $6,165.95 | $64,565.42 | $173,780.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $66,069.34 / $173,780.08
| Facility | | $6,165.95 | $66,069.34 | $173,780.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $52,480.75 / $151,356.12
| Facility | | $6,165.95 | $52,480.75 | $151,356.12 |