- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $56,234.13 / $93,325.43
| Facility | | $24,547.09 | $56,234.13 | $93,325.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $51,286.14 / $138,038.43
| Facility | | $6,165.95 | $51,286.14 | $138,038.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,622.78 / $53,703.18 / $81,283.05
| Facility | | $31,622.78 | $53,703.18 | $81,283.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $77,624.71 / $77,624.71 / $77,624.71
| Facility | | $77,624.71 | $77,624.71 | $77,624.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $51,286.14 / $138,038.43
| Facility | | $6,165.95 | $51,286.14 | $138,038.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $51,286.14 / $138,038.43
| Facility | | $6,165.95 | $51,286.14 | $138,038.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $51,286.14 / $120,226.44
| Facility | | $6,165.95 | $51,286.14 | $120,226.44 |