- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,831.70 / $45,271.20 / $59,107.90
| Facility | | $21,831.70 | $45,271.20 | $59,107.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $41,341.89 / $110,705.50
| Facility | | $5,840.42 | $41,341.89 | $110,705.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,579.74 / $42,296.65 / $63,910.75
| Facility | | $25,579.74 | $42,296.65 | $63,910.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60,065.60 / $60,065.60 / $60,065.60
| Facility | | $60,065.60 | $60,065.60 | $60,065.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,855.40 / $42,610.07 / $65,799.95
| Facility | | $36,855.40 | $42,610.07 | $65,799.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $41,341.89 / $110,705.50
| Facility | | $5,840.42 | $41,341.89 | $110,705.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $41,341.89 / $86,517.33
| Facility | | $5,840.42 | $41,341.89 | $86,517.33 |