- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,118.72 / $91,201.08 / $128,824.96
| Facility | | $50,118.72 | $91,201.08 | $128,824.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,840.32 / $91,201.08 / $165,958.69
| Facility | | $28,840.32 | $91,201.08 | $165,958.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,668.36 / $83,176.38 / $123,026.88
| Facility | | $44,668.36 | $83,176.38 | $123,026.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $97,723.72 / $97,723.72 / $117,489.76
| Facility | | $97,723.72 | $97,723.72 | $117,489.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,153.52 / $89,125.09 / $109,647.82
| Facility | | $37,153.52 | $89,125.09 | $109,647.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $125,892.54 / $125,892.54 / $125,892.54
| Facility | | $125,892.54 | $125,892.54 | $125,892.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,118.72 / $85,113.80 / $123,026.88
| Facility | | $50,118.72 | $85,113.80 | $123,026.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,651.58 / $56,234.13 / $91,201.08
| Facility | | $43,651.58 | $56,234.13 | $91,201.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $66,069.34 / $114,815.36
| Facility | | $5,370.32 | $66,069.34 | $114,815.36 |