- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58,884.37 / $95,499.26 / $125,892.54
| Facility | | $58,884.37 | $95,499.26 | $125,892.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66,069.34 / $95,499.26 / $120,226.44
| Facility | | $66,069.34 | $95,499.26 | $120,226.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $114,815.36 / $114,815.36 / $114,815.36
| Facility | | $114,815.36 | $114,815.36 | $114,815.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58,884.37 / $89,125.09 / $120,226.44
| Facility | | $58,884.37 | $89,125.09 | $120,226.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $114,815.36 / $114,815.36 / $114,815.36
| Facility | | $114,815.36 | $114,815.36 | $114,815.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51,286.14 / $87,096.36 / $131,825.67
| Facility | | $51,286.14 | $87,096.36 | $131,825.67 |