- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,075.60 / $60,292.40 / $78,720.30
| Facility | | $29,075.60 | $60,292.40 | $78,720.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $55,059.37 / $147,438.21
| Facility | | $5,840.42 | $55,059.37 | $147,438.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,643.12 / $53,532.73 / $78,101.89
| Facility | | $36,643.12 | $53,532.73 | $78,101.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $79,995.70 / $79,995.70 / $79,995.70
| Facility | | $79,995.70 | $79,995.70 | $79,995.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49,084.23 / $56,748.33 / $87,632.74
| Facility | | $49,084.23 | $56,748.33 | $87,632.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $55,059.37 / $147,438.21
| Facility | | $5,840.42 | $55,059.37 | $147,438.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $55,059.37 / $115,224.26
| Facility | | $5,840.42 | $55,059.37 | $115,224.26 |