- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,476.40 / $54,902.60 / $71,683.10
| Facility | | $26,476.40 | $54,902.60 | $71,683.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $49,489.80 / $134,258.07
| Facility | | $5,840.42 | $49,489.80 | $134,258.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,021.82 / $51,295.26 / $77,507.75
| Facility | | $31,021.82 | $51,295.26 | $77,507.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72,844.53 / $72,844.53 / $72,844.53
| Facility | | $72,844.53 | $72,844.53 | $72,844.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,696.38 / $51,675.35 / $79,798.88
| Facility | | $44,696.38 | $51,675.35 | $79,798.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $49,489.80 / $134,258.07
| Facility | | $5,840.42 | $49,489.80 | $134,258.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $38,991.43 / $104,923.87
| Facility | | $5,840.42 | $38,991.43 | $104,923.87 |