- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,914.00 / $56,259.80 / $73,455.20
| Facility | | $23,914.00 | $56,259.80 | $73,455.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $50,713.20 / $137,576.95
| Facility | | $5,840.42 | $50,713.20 | $137,576.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,788.68 / $52,563.28 / $79,423.75
| Facility | | $31,788.68 | $52,563.28 | $79,423.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $74,645.27 / $74,645.27 / $74,645.27
| Facility | | $74,645.27 | $74,645.27 | $74,645.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,801.28 / $52,952.77 / $81,771.50
| Facility | | $45,801.28 | $52,952.77 | $81,771.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $50,713.20 / $137,576.95
| Facility | | $5,840.42 | $50,713.20 | $137,576.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $50,713.20 / $107,517.60
| Facility | | $5,840.42 | $50,713.20 | $107,517.60 |