- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,000.80 / $47,695.40 / $62,273.10
| Facility | | $23,000.80 | $47,695.40 | $62,273.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $43,555.72 / $116,633.70
| Facility | | $5,840.42 | $43,555.72 | $116,633.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,949.51 / $44,561.61 / $67,333.12
| Facility | | $26,949.51 | $44,561.61 | $67,333.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63,282.07 / $63,282.07 / $63,282.07
| Facility | | $63,282.07 | $63,282.07 | $63,282.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,828.98 / $44,891.80 / $69,323.49
| Facility | | $38,828.98 | $44,891.80 | $69,323.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $43,555.72 / $116,633.70
| Facility | | $5,840.42 | $43,555.72 | $116,633.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $43,555.72 / $91,150.27
| Facility | | $5,840.42 | $43,555.72 | $91,150.27 |