- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,481.34 / $53,703.18 / $107,151.93
| Facility | | $35,481.34 | $53,703.18 | $107,151.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,982.44 / $58,884.37 / $112,201.85
| Facility | | $16,982.44 | $58,884.37 | $112,201.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $91.20 / $31,622.78 / $97,723.72
| Facility | | $91.20 | $31,622.78 | $97,723.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,199.52 / $48,977.88 / $112,201.85
| Facility | | $30,199.52 | $48,977.88 | $112,201.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75,857.76 / $75,857.76 / $75,857.76
| Facility | | $75,857.76 | $75,857.76 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,902.95 / $56,234.13 / $120,226.44
| Facility | | $30,902.95 | $56,234.13 | $120,226.44 |
- 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
- $6,760.83 / $42,657.95 / $104,712.85
| Facility | | $6,760.83 | $42,657.95 | $104,712.85 |