- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,276.10 / $56,560.90 / $73,848.30
| Facility | | $27,276.10 | $56,560.90 | $73,848.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $51,651.72 / $138,313.20
| Facility | | $5,840.42 | $51,651.72 | $138,313.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,958.81 / $52,844.58 / $79,848.78
| Facility | | $31,958.81 | $52,844.58 | $79,848.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75,044.74 / $75,044.74 / $75,044.74
| Facility | | $75,044.74 | $75,044.74 | $75,044.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,046.39 / $53,236.15 / $82,209.12
| Facility | | $46,046.39 | $53,236.15 | $82,209.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $51,651.72 / $138,313.20
| Facility | | $5,840.42 | $51,651.72 | $138,313.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $51,651.72 / $108,092.99
| Facility | | $5,840.42 | $51,651.72 | $108,092.99 |