- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,118.70 / $58,308.10 / $76,129.50
| Facility | | $28,118.70 | $58,308.10 | $76,129.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $53,247.27 / $142,585.78
| Facility | | $5,840.42 | $53,247.27 | $142,585.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,946.03 / $54,476.98 / $82,315.37
| Facility | | $32,946.03 | $54,476.98 | $82,315.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $77,362.91 / $77,362.91 / $77,362.91
| Facility | | $77,362.91 | $77,362.91 | $77,362.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,468.79 / $54,880.65 / $84,748.61
| Facility | | $47,468.79 | $54,880.65 | $84,748.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $53,247.27 / $142,585.78
| Facility | | $5,840.42 | $53,247.27 | $142,585.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $53,247.27 / $111,432.05
| Facility | | $5,840.42 | $53,247.27 | $111,432.05 |