- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,884.42 / $61,659.50 / $87,096.36
| Facility | | $33,884.42 | $61,659.50 | $87,096.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,183.83 / $58,884.37 / $97,723.72
| Facility | | $28,183.83 | $58,884.37 | $97,723.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,622.78 / $56,234.13 / $79,432.82
| Facility | | $31,622.78 | $56,234.13 | $79,432.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66,069.34 / $66,069.34 / $79,432.82
| Facility | | $66,069.34 | $66,069.34 | $79,432.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,512.09 / $61,659.50 / $75,857.76
| Facility | | $29,512.09 | $61,659.50 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,848.93 / $51,286.14 / $89,125.09
| Facility | | $15,848.93 | $51,286.14 | $89,125.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,884.42 / $57,543.99 / $85,113.80
| Facility | | $33,884.42 | $57,543.99 | $85,113.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,118.86 / $28,840.32 / $42,657.95
| Facility | | $25,118.86 | $28,840.32 | $42,657.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $44,668.36 / $79,432.82
| Facility | | $5,370.32 | $44,668.36 | $79,432.82 |