- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,706.80 / $69,895.80 / $91,258.80
| Facility | | $33,706.80 | $69,895.80 | $91,258.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $63,829.20 / $170,922.11
| Facility | | $5,840.42 | $63,829.20 | $170,922.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,493.46 / $65,303.29 / $98,674.05
| Facility | | $39,493.46 | $65,303.29 | $98,674.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $92,737.39 / $92,737.39 / $92,737.39
| Facility | | $92,737.39 | $92,737.39 | $92,737.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56,902.35 / $65,787.17 / $101,590.86
| Facility | | $56,902.35 | $65,787.17 | $101,590.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $63,829.20 / $170,922.11
| Facility | | $5,840.42 | $63,829.20 | $170,922.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $63,829.20 / $133,577.15
| Facility | | $5,840.42 | $63,829.20 | $133,577.15 |