- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,219.90 / $70,959.70 / $92,647.90
| Facility | | $34,219.90 | $70,959.70 | $92,647.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $64,800.78 / $173,523.81
| Facility | | $5,840.42 | $64,800.78 | $173,523.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,094.61 / $66,297.30 / $100,176.02
| Facility | | $40,094.61 | $66,297.30 | $100,176.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $94,148.99 / $94,148.99 / $94,148.99
| Facility | | $94,148.99 | $94,148.99 | $94,148.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57,768.49 / $66,788.56 / $103,137.22
| Facility | | $57,768.49 | $66,788.56 | $103,137.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $64,800.78 / $173,523.81
| Facility | | $5,840.42 | $64,800.78 | $173,523.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $64,800.78 / $135,610.39
| Facility | | $5,840.42 | $64,800.78 | $135,610.39 |