- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,230.10 / $50,244.50 / $65,601.30
| Facility | | $24,230.10 | $50,244.50 | $65,601.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $45,883.52 / $122,867.08
| Facility | | $5,840.42 | $45,883.52 | $122,867.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,389.81 / $46,943.16 / $70,931.67
| Facility | | $28,389.81 | $46,943.16 | $70,931.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66,664.12 / $66,664.12 / $66,664.12
| Facility | | $66,664.12 | $66,664.12 | $66,664.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,904.16 / $47,291.01 / $73,028.42
| Facility | | $40,904.16 | $47,291.01 | $73,028.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $45,883.52 / $122,867.08
| Facility | | $5,840.42 | $45,883.52 | $122,867.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $45,883.52 / $96,021.71
| Facility | | $5,840.42 | $45,883.52 | $96,021.71 |