- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,302.68 / $54,954.09 / $91,201.08
| Facility | | $26,302.68 | $54,954.09 | $91,201.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $50,118.72 / $131,825.67
| Facility | | $6,165.95 | $50,118.72 | $131,825.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,902.95 / $52,480.75 / $77,624.71
| Facility | | $30,902.95 | $52,480.75 | $77,624.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75,857.76 / $75,857.76 / $75,857.76
| Facility | | $75,857.76 | $75,857.76 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $50,118.72 / $131,825.67
| Facility | | $6,165.95 | $50,118.72 | $131,825.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $50,118.72 / $131,825.67
| Facility | | $6,165.95 | $50,118.72 | $131,825.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $40,738.03 / $114,815.36
| Facility | | $6,165.95 | $40,738.03 | $114,815.36 |