- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,775.90 / $65,345.30 / $87,273.60
| Facility | | $27,775.90 | $65,345.30 | $87,273.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $59,673.64 / $159,794.34
| Facility | | $5,840.42 | $59,673.64 | $159,794.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,502.17 / $60,616.12 / $87,860.08
| Facility | | $35,502.17 | $60,616.12 | $87,860.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $86,699.78 / $86,699.78 / $86,699.78
| Facility | | $86,699.78 | $86,699.78 | $86,699.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,197.76 / $61,504.15 / $94,976.85
| Facility | | $53,197.76 | $61,504.15 | $94,976.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $59,673.64 / $159,794.34
| Facility | | $5,840.42 | $59,673.64 | $159,794.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $59,673.64 / $124,880.69
| Facility | | $5,840.42 | $59,673.64 | $124,880.69 |