- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,442.29 / $48,977.88 / $81,283.05
| Facility | | $23,442.29 | $48,977.88 | $81,283.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $44,668.36 / $131,825.67
| Facility | | $6,165.95 | $44,668.36 | $131,825.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,542.29 / $46,773.51 / $69,183.10
| Facility | | $27,542.29 | $46,773.51 | $69,183.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $67,608.30 / $67,608.30 / $67,608.30
| Facility | | $67,608.30 | $67,608.30 | $67,608.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $44,668.36 / $117,489.76
| Facility | | $6,165.95 | $44,668.36 | $117,489.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $44,668.36 / $131,825.67
| Facility | | $6,165.95 | $44,668.36 | $131,825.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $35,481.34 / $102,329.30
| Facility | | $6,165.95 | $35,481.34 | $102,329.30 |