- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,766.50 / $51,356.80 / $67,053.50
| Facility | | $24,766.50 | $51,356.80 | $67,053.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $46,899.26 / $125,587.03
| Facility | | $5,840.42 | $46,899.26 | $125,587.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,018.28 / $47,982.36 / $72,501.92
| Facility | | $29,018.28 | $47,982.36 | $72,501.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $68,139.89 / $68,139.89 / $68,139.89
| Facility | | $68,139.89 | $68,139.89 | $68,139.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,809.67 / $48,337.90 / $74,645.08
| Facility | | $41,809.67 | $48,337.90 | $74,645.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $46,899.26 / $125,587.03
| Facility | | $5,840.42 | $46,899.26 | $125,587.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $46,899.26 / $98,147.38
| Facility | | $5,840.42 | $46,899.26 | $98,147.38 |