- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,542.29 / $77,624.71 / $128,824.96
| Facility | | $27,542.29 | $77,624.71 | $128,824.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,512.09 / $63,095.73 / $104,712.85
| Facility | | $29,512.09 | $63,095.73 | $104,712.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,863.01 / $89,125.09 / $177,827.94
| Facility | | $47,863.01 | $89,125.09 | $177,827.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $199,526.23 / $199,526.23 / $199,526.23
| Facility | | $199,526.23 | $199,526.23 | $199,526.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,542.29 / $57,543.99 / $128,824.96
| Facility | | $27,542.29 | $57,543.99 | $128,824.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,773.51 / $72,443.60 / $177,827.94
| Facility | | $46,773.51 | $72,443.60 | $177,827.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $57,543.99 / $141,253.75
| Facility | | $19,498.45 | $57,543.99 | $141,253.75 |