- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,131.30 / $52,113.40 / $68,041.30
| Facility | | $25,131.30 | $52,113.40 | $68,041.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $47,590.19 / $127,437.21
| Facility | | $5,840.42 | $47,590.19 | $127,437.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,445.79 / $48,689.25 / $73,570.03
| Facility | | $29,445.79 | $48,689.25 | $73,570.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $69,143.74 / $69,143.74 / $69,143.74
| Facility | | $69,143.74 | $69,143.74 | $69,143.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,425.62 / $49,050.03 / $75,744.75
| Facility | | $42,425.62 | $49,050.03 | $75,744.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $47,590.19 / $127,437.21
| Facility | | $5,840.42 | $47,590.19 | $127,437.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $47,590.19 / $99,593.31
| Facility | | $5,840.42 | $47,590.19 | $99,593.31 |