- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,738.03 / $85,113.80 / $141,253.75
| Facility | | $40,738.03 | $85,113.80 | $141,253.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $77,624.71 / $208,929.61
| Facility | | $6,165.95 | $77,624.71 | $208,929.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,863.01 / $81,283.05 / $123,026.88
| Facility | | $47,863.01 | $81,283.05 | $123,026.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $117,489.76 / $117,489.76 / $117,489.76
| Facility | | $117,489.76 | $117,489.76 | $117,489.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $77,624.71 / $208,929.61
| Facility | | $6,165.95 | $77,624.71 | $208,929.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $77,624.71 / $208,929.61
| Facility | | $6,165.95 | $77,624.71 | $208,929.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $63,095.73 / $181,970.09
| Facility | | $6,165.95 | $63,095.73 | $181,970.09 |