- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,242.50 / $54,417.50 / $71,049.70
| Facility | | $26,242.50 | $54,417.50 | $71,049.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $49,694.32 / $133,071.67
| Facility | | $5,840.42 | $49,694.32 | $133,071.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,747.69 / $50,479.19 / $76,822.83
| Facility | | $30,747.69 | $50,479.19 | $76,822.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72,200.83 / $72,200.83 / $72,200.83
| Facility | | $72,200.83 | $72,200.83 | $72,200.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,301.41 / $51,218.71 / $79,093.71
| Facility | | $44,301.41 | $51,218.71 | $79,093.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $49,694.32 / $133,071.67
| Facility | | $5,840.42 | $49,694.32 | $133,071.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $49,694.32 / $103,996.69
| Facility | | $5,840.42 | $49,694.32 | $103,996.69 |