- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,036.70 / $58,138.10 / $75,907.50
| Facility | | $28,036.70 | $58,138.10 | $75,907.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $53,091.99 / $142,169.97
| Facility | | $5,840.42 | $53,091.99 | $142,169.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,849.94 / $54,318.11 / $82,075.32
| Facility | | $32,849.94 | $54,318.11 | $82,075.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $77,137.31 / $77,137.31 / $77,137.31
| Facility | | $77,137.31 | $77,137.31 | $77,137.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,330.36 / $54,720.60 / $84,501.46
| Facility | | $47,330.36 | $54,720.60 | $84,501.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $53,091.99 / $142,169.97
| Facility | | $5,840.42 | $53,091.99 | $142,169.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $53,091.99 / $111,107.09
| Facility | | $5,840.42 | $53,091.99 | $111,107.09 |