- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,951.70 / $49,667.30 / $64,847.60
| Facility | | $23,951.70 | $49,667.30 | $64,847.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $45,356.41 / $121,455.60
| Facility | | $5,840.42 | $45,356.41 | $121,455.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,063.67 / $46,403.89 / $70,116.83
| Facility | | $28,063.67 | $46,403.89 | $70,116.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $65,898.28 / $65,898.28 / $65,898.28
| Facility | | $65,898.28 | $65,898.28 | $65,898.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,434.26 / $46,747.74 / $72,189.48
| Facility | | $40,434.26 | $46,747.74 | $72,189.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $45,356.41 / $121,455.60
| Facility | | $5,840.42 | $45,356.41 | $121,455.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $45,356.41 / $94,918.63
| Facility | | $5,840.42 | $45,356.41 | $94,918.63 |