- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $61,659.50 / $79,432.82
| Facility | | $19,498.45 | $61,659.50 | $79,432.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58,884.37 / $58,884.37 / $58,884.37
| Facility | | $58,884.37 | $58,884.37 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,135.61 / $64,565.42 / $109,647.82
| Facility | | $15,135.61 | $64,565.42 | $109,647.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $151,356.12 / $151,356.12 / $151,356.12
| Facility | | $151,356.12 | $151,356.12 | $151,356.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,480.75 / $67,608.30 / $102,329.30
| Facility | | $52,480.75 | $67,608.30 | $102,329.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,481.34 / $67,608.30 / $107,151.93
| Facility | | $35,481.34 | $67,608.30 | $107,151.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,686.94 / $60,255.96 / $95,499.26
| Facility | | $41,686.94 | $60,255.96 | $95,499.26 |