- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,047.80 / $60,234.70 / $78,644.89
| Facility | | $29,047.80 | $60,234.70 | $78,644.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $55,006.66 / $147,297.06
| Facility | | $5,840.42 | $55,006.66 | $147,297.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,034.62 / $56,276.99 / $85,035.21
| Facility | | $34,034.62 | $56,276.99 | $85,035.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $79,919.12 / $79,919.12 / $79,919.12
| Facility | | $79,919.12 | $79,919.12 | $79,919.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49,037.24 / $56,694.00 / $87,548.85
| Facility | | $49,037.24 | $56,694.00 | $87,548.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $55,006.66 / $147,297.06
| Facility | | $5,840.42 | $55,006.66 | $147,297.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $55,006.66 / $115,113.96
| Facility | | $5,840.42 | $55,006.66 | $115,113.96 |