- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,632.70 / $57,300.40 / $74,813.70
| Facility | | $27,632.70 | $57,300.40 | $74,813.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $52,326.98 / $140,121.42
| Facility | | $5,840.42 | $52,326.98 | $140,121.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,376.61 / $53,535.43 / $80,892.67
| Facility | | $32,376.61 | $53,535.43 | $80,892.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $76,025.82 / $76,025.82 / $76,025.82
| Facility | | $76,025.82 | $76,025.82 | $76,025.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,648.37 / $53,932.13 / $83,283.87
| Facility | | $46,648.37 | $53,932.13 | $83,283.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $52,326.98 / $140,121.42
| Facility | | $5,840.42 | $52,326.98 | $140,121.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $52,326.98 / $109,506.13
| Facility | | $5,840.42 | $52,326.98 | $109,506.13 |