- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,363.20 / $50,520.60 / $65,961.80
| Facility | | $24,363.20 | $50,520.60 | $65,961.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $46,135.67 / $123,542.30
| Facility | | $5,840.42 | $46,135.67 | $123,542.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,545.82 / $47,201.14 / $71,321.49
| Facility | | $28,545.82 | $47,201.14 | $71,321.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $67,030.47 / $67,030.47 / $67,030.47
| Facility | | $67,030.47 | $67,030.47 | $67,030.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,128.94 / $47,550.90 / $73,429.75
| Facility | | $41,128.94 | $47,550.90 | $73,429.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $46,135.67 / $123,542.30
| Facility | | $5,840.42 | $46,135.67 | $123,542.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $46,135.67 / $96,549.40
| Facility | | $5,840.42 | $46,135.67 | $96,549.40 |