- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,297.20 / $56,604.60 / $73,905.30
| Facility | | $27,297.20 | $56,604.60 | $73,905.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $51,691.61 / $138,420.01
| Facility | | $5,840.42 | $51,691.61 | $138,420.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,983.49 / $52,885.39 / $79,910.46
| Facility | | $31,983.49 | $52,885.39 | $79,910.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75,102.69 / $75,102.69 / $75,102.69
| Facility | | $75,102.69 | $75,102.69 | $75,102.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,081.95 / $53,277.27 / $82,272.61
| Facility | | $46,081.95 | $53,277.27 | $82,272.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $51,691.61 / $138,420.01
| Facility | | $5,840.42 | $51,691.61 | $138,420.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $51,691.61 / $108,176.47
| Facility | | $5,840.42 | $51,691.61 | $108,176.47 |