- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,579.50 / $71,705.39 / $93,621.50
| Facility | | $34,579.50 | $71,705.39 | $93,621.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $65,481.74 / $175,347.28
| Facility | | $5,840.42 | $65,481.74 | $175,347.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,515.94 / $66,993.99 / $101,228.72
| Facility | | $40,515.94 | $66,993.99 | $101,228.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $95,138.36 / $95,138.36 / $95,138.36
| Facility | | $95,138.36 | $95,138.36 | $95,138.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58,375.55 / $67,490.41 / $104,221.04
| Facility | | $58,375.55 | $67,490.41 | $104,221.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $65,481.74 / $175,347.28
| Facility | | $5,840.42 | $65,481.74 | $175,347.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $65,481.74 / $137,035.45
| Facility | | $5,840.42 | $65,481.74 | $137,035.45 |