- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,738.03 / $57,543.99 / $93,325.43
| Facility | | $40,738.03 | $57,543.99 | $93,325.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,197.01 / $37,153.52 / $66,069.34
| Facility | | $18,197.01 | $37,153.52 | $66,069.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,673.69 / $60,255.96 / $112,201.85
| Facility | | $34,673.69 | $60,255.96 | $112,201.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $144,543.98 / $144,543.98 / $144,543.98
| Facility | | $144,543.98 | $144,543.98 | $144,543.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,877.62 / $51,286.14 / $93,325.43
| Facility | | $21,877.62 | $51,286.14 | $93,325.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,481.34 / $48,977.88 / $120,226.44
| Facility | | $35,481.34 | $48,977.88 | $120,226.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,079.46 / $47,863.01 / $109,647.82
| Facility | | $7,079.46 | $47,863.01 | $109,647.82 |