- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,701.20 / $65,736.80 / $85,828.70
| Facility | | $31,701.20 | $65,736.80 | $85,828.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $60,031.22 / $160,751.85
| Facility | | $5,840.42 | $60,031.22 | $160,751.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,143.51 / $61,417.59 / $92,802.72
| Facility | | $37,143.51 | $61,417.59 | $92,802.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $87,219.30 / $87,219.30 / $87,219.30
| Facility | | $87,219.30 | $87,219.30 | $87,219.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,516.53 / $61,872.69 / $95,545.97
| Facility | | $53,516.53 | $61,872.69 | $95,545.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $60,031.22 / $160,751.85
| Facility | | $5,840.42 | $60,031.22 | $160,751.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $60,031.22 / $125,629.00
| Facility | | $5,840.42 | $60,031.22 | $125,629.00 |