- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,118.86 / $51,286.14 / $87,096.36
| Facility | | $25,118.86 | $51,286.14 | $87,096.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $47,863.01 / $125,892.54
| Facility | | $6,165.95 | $47,863.01 | $125,892.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,840.32 / $48,977.88 / $74,131.02
| Facility | | $28,840.32 | $48,977.88 | $74,131.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72,443.60 / $72,443.60 / $72,443.60
| Facility | | $72,443.60 | $72,443.60 | $72,443.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $46,773.51 / $125,892.54
| Facility | | $6,165.95 | $46,773.51 | $125,892.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $47,863.01 / $125,892.54
| Facility | | $6,165.95 | $47,863.01 | $125,892.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $38,018.94 / $109,647.82
| Facility | | $6,165.95 | $38,018.94 | $109,647.82 |