- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $50,118.72 / $85,113.80
| Facility | | $24,547.09 | $50,118.72 | $85,113.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $45,708.82 / $123,026.88
| Facility | | $6,165.95 | $45,708.82 | $123,026.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,183.83 / $47,863.01 / $72,443.60
| Facility | | $28,183.83 | $47,863.01 | $72,443.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70,794.58 / $70,794.58 / $70,794.58
| Facility | | $70,794.58 | $70,794.58 | $70,794.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $45,708.82 / $123,026.88
| Facility | | $6,165.95 | $45,708.82 | $123,026.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $45,708.82 / $123,026.88
| Facility | | $6,165.95 | $45,708.82 | $123,026.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $38,018.94 / $107,151.93
| Facility | | $6,165.95 | $38,018.94 | $107,151.93 |