- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,390.50 / $48,503.50 / $63,328.20
| Facility | | $23,390.50 | $48,503.50 | $63,328.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $44,293.66 / $118,609.76
| Facility | | $5,840.42 | $44,293.66 | $118,609.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,406.11 / $45,316.59 / $68,473.91
| Facility | | $27,406.11 | $45,316.59 | $68,473.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64,354.22 / $64,354.22 / $64,354.22
| Facility | | $64,354.22 | $64,354.22 | $64,354.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,486.83 / $45,652.38 / $70,498.00
| Facility | | $39,486.83 | $45,652.38 | $70,498.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $44,293.66 / $118,609.76
| Facility | | $5,840.42 | $44,293.66 | $118,609.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $44,293.66 / $92,694.58
| Facility | | $5,840.42 | $44,293.66 | $92,694.58 |