- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,884.42 / $69,183.10 / $120,226.44
| Facility | | $33,884.42 | $69,183.10 | $120,226.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,773.51 / $77,624.71 / $117,489.76
| Facility | | $46,773.51 | $77,624.71 | $117,489.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $58,884.37 / $112,201.85
| Facility | | $100.00 | $58,884.37 | $112,201.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,884.42 / $54,954.09 / $95,499.26
| Facility | | $33,884.42 | $54,954.09 | $95,499.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $87,096.36 / $87,096.36 / $87,096.36
| Facility | | $87,096.36 | $87,096.36 | $87,096.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,673.69 / $58,884.37 / $97,723.72
| Facility | | $34,673.69 | $58,884.37 | $97,723.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,511.38 / $37,153.52 / $95,499.26
| Facility | | $8,511.38 | $37,153.52 | $95,499.26 |