- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,171.60 / $56,344.10 / $73,565.10
| Facility | | $27,171.60 | $56,344.10 | $73,565.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $50,789.13 / $137,782.95
| Facility | | $5,840.42 | $50,789.13 | $137,782.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,836.28 / $52,641.99 / $79,542.67
| Facility | | $31,836.28 | $52,641.99 | $79,542.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $74,757.03 / $74,757.03 / $74,757.03
| Facility | | $74,757.03 | $74,757.03 | $74,757.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,869.86 / $53,032.06 / $81,893.95
| Facility | | $45,869.86 | $53,032.06 | $81,893.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $50,789.13 / $137,782.95
| Facility | | $5,840.42 | $50,789.13 | $137,782.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $40,015.12 / $107,678.59
| Facility | | $5,840.42 | $40,015.12 | $107,678.59 |