- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,070.90 / $70,650.80 / $92,244.60
| Facility | | $34,070.90 | $70,650.80 | $92,244.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $64,518.71 / $172,768.48
| Facility | | $5,840.42 | $64,518.71 | $172,768.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,920.08 / $66,008.72 / $99,739.96
| Facility | | $39,920.08 | $66,008.72 | $99,739.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $93,739.17 / $93,739.17 / $93,739.17
| Facility | | $93,739.17 | $93,739.17 | $93,739.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57,517.03 / $66,497.84 / $102,688.28
| Facility | | $57,517.03 | $66,497.84 | $102,688.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $64,518.71 / $172,768.48
| Facility | | $5,840.42 | $64,518.71 | $172,768.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $64,518.71 / $135,020.10
| Facility | | $5,840.42 | $64,518.71 | $135,020.10 |