- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,716.60 / $69,916.10 / $91,285.30
| Facility | | $33,716.60 | $69,916.10 | $91,285.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $63,847.72 / $170,971.71
| Facility | | $5,840.42 | $63,847.72 | $170,971.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,504.92 / $65,322.24 / $98,702.68
| Facility | | $39,504.92 | $65,322.24 | $98,702.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $92,764.30 / $92,764.30 / $92,764.30
| Facility | | $92,764.30 | $92,764.30 | $92,764.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56,918.86 / $65,806.27 / $101,620.33
| Facility | | $56,918.86 | $65,806.27 | $101,620.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $63,847.72 / $170,971.71
| Facility | | $5,840.42 | $63,847.72 | $170,971.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $63,847.72 / $133,615.90
| Facility | | $5,840.42 | $63,847.72 | $133,615.90 |