- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,292.50 / $42,079.40 / $54,940.60
| Facility | | $20,292.50 | $42,079.40 | $54,940.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $38,427.16 / $102,900.42
| Facility | | $5,840.42 | $38,427.16 | $102,900.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,776.29 / $39,314.61 / $59,404.84
| Facility | | $23,776.29 | $39,314.61 | $59,404.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55,830.79 / $55,830.79 / $55,830.79
| Facility | | $55,830.79 | $55,830.79 | $55,830.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,256.98 / $39,605.92 / $61,160.85
| Facility | | $34,256.98 | $39,605.92 | $61,160.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $38,427.16 / $102,900.42
| Facility | | $5,840.42 | $38,427.16 | $102,900.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $38,427.16 / $80,417.59
| Facility | | $5,840.42 | $38,427.16 | $80,417.59 |