- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,668.36 / $66,069.34 / $117,489.76
| Facility | | $44,668.36 | $66,069.34 | $117,489.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $87,096.36 / $104,712.85
| Facility | | $19,054.61 | $87,096.36 | $104,712.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $91.20 / $39,810.72 / $97,723.72
| Facility | | $91.20 | $39,810.72 | $97,723.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,651.58 / $70,794.58 / $112,201.85
| Facility | | $43,651.58 | $70,794.58 | $112,201.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $131,825.67 / $131,825.67 / $131,825.67
| Facility | | $131,825.67 | $131,825.67 | $131,825.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,668.36 / $79,432.82 / $125,892.54
| Facility | | $44,668.36 | $79,432.82 | $125,892.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61,659.50 / $61,659.50 / $61,659.50
| Facility | | $61,659.50 | $61,659.50 | $61,659.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,918.31 / $61,659.50 / $109,647.82
| Facility | | $6,918.31 | $61,659.50 | $109,647.82 |