- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,118.86 / $52,480.75 / $87,096.36
| Facility | | $25,118.86 | $52,480.75 | $87,096.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $47,863.01 / $128,824.96
| Facility | | $6,165.95 | $47,863.01 | $128,824.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,512.09 / $50,118.72 / $74,131.02
| Facility | | $29,512.09 | $50,118.72 | $74,131.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72,443.60 / $72,443.60 / $72,443.60
| Facility | | $72,443.60 | $72,443.60 | $72,443.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $47,863.01 / $128,824.96
| Facility | | $6,165.95 | $47,863.01 | $128,824.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $47,863.01 / $128,824.96
| Facility | | $6,165.95 | $47,863.01 | $128,824.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $38,904.51 / $109,647.82
| Facility | | $6,165.95 | $38,904.51 | $109,647.82 |