- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,953.40 / $55,891.70 / $72,974.50
| Facility | | $26,953.40 | $55,891.70 | $72,974.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $51,040.57 / $136,676.65
| Facility | | $5,840.42 | $51,040.57 | $136,676.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,580.66 / $52,219.31 / $78,904.00
| Facility | | $31,580.66 | $52,219.31 | $78,904.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72,987.36 / $72,987.36 / $72,987.36
| Facility | | $72,987.36 | $72,987.36 | $72,987.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,501.56 / $52,606.25 / $81,236.41
| Facility | | $45,501.56 | $52,606.25 | $81,236.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $51,040.57 / $136,676.65
| Facility | | $5,840.42 | $51,040.57 | $136,676.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $51,040.57 / $106,814.02
| Facility | | $5,840.42 | $51,040.57 | $106,814.02 |