- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,622.78 / $66,069.34 / $109,647.82
| Facility | | $31,622.78 | $66,069.34 | $109,647.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $60,255.96 / $162,181.01
| Facility | | $6,165.95 | $60,255.96 | $162,181.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,153.52 / $63,095.73 / $93,325.43
| Facility | | $37,153.52 | $63,095.73 | $93,325.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $91,201.08 / $91,201.08 / $91,201.08
| Facility | | $91,201.08 | $91,201.08 | $91,201.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $60,255.96 / $162,181.01
| Facility | | $6,165.95 | $60,255.96 | $162,181.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $60,255.96 / $162,181.01
| Facility | | $6,165.95 | $60,255.96 | $162,181.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $48,977.88 / $141,253.75
| Facility | | $6,165.95 | $48,977.88 | $141,253.75 |