- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,791.90 / $53,483.00 / $69,829.60
| Facility | | $25,791.90 | $53,483.00 | $69,829.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $48,840.99 / $130,786.60
| Facility | | $5,840.42 | $48,840.99 | $130,786.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,219.70 / $49,968.93 / $75,503.64
| Facility | | $30,219.70 | $49,968.93 | $75,503.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70,961.02 / $70,961.02 / $70,961.02
| Facility | | $70,961.02 | $70,961.02 | $70,961.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,540.68 / $50,339.20 / $77,735.53
| Facility | | $43,540.68 | $50,339.20 | $77,735.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $48,840.99 / $130,786.60
| Facility | | $5,840.42 | $48,840.99 | $130,786.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $48,840.99 / $102,210.89
| Facility | | $5,840.42 | $48,840.99 | $102,210.89 |