- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,018.94 / $83,176.38 / $131,825.67
| Facility | | $38,018.94 | $83,176.38 | $131,825.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $72,443.60 / $190,546.07
| Facility | | $6,165.95 | $72,443.60 | $190,546.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,686.94 / $75,857.76 / $120,226.44
| Facility | | $41,686.94 | $75,857.76 | $120,226.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $109,647.82 / $109,647.82 / $109,647.82
| Facility | | $109,647.82 | $109,647.82 | $109,647.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $72,443.60 / $190,546.07
| Facility | | $6,165.95 | $72,443.60 | $190,546.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $72,443.60 / $190,546.07
| Facility | | $6,165.95 | $72,443.60 | $190,546.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $60,255.96 / $165,958.69
| Facility | | $6,165.95 | $60,255.96 | $165,958.69 |