- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,031.70 / $47,759.40 / $62,356.60
| Facility | | $23,031.70 | $47,759.40 | $62,356.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $43,614.13 / $116,790.10
| Facility | | $5,840.42 | $43,614.13 | $116,790.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,985.65 / $44,621.36 / $67,423.41
| Facility | | $26,985.65 | $44,621.36 | $67,423.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63,366.93 / $63,366.93 / $63,366.93
| Facility | | $63,366.93 | $63,366.93 | $63,366.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,881.05 / $44,952.00 / $69,416.45
| Facility | | $38,881.05 | $44,952.00 | $69,416.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $43,614.13 / $116,790.10
| Facility | | $5,840.42 | $43,614.13 | $116,790.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $43,614.13 / $91,272.50
| Facility | | $5,840.42 | $43,614.13 | $91,272.50 |