- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,877.62 / $44,668.36 / $75,857.76
| Facility | | $21,877.62 | $44,668.36 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $40,738.03 / $109,647.82
| Facility | | $6,165.95 | $40,738.03 | $109,647.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,118.86 / $42,657.95 / $64,565.42
| Facility | | $25,118.86 | $42,657.95 | $64,565.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63,095.73 / $63,095.73 / $63,095.73
| Facility | | $63,095.73 | $63,095.73 | $63,095.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $40,738.03 / $109,647.82
| Facility | | $6,165.95 | $40,738.03 | $109,647.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $40,738.03 / $109,647.82
| Facility | | $6,165.95 | $40,738.03 | $109,647.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $33,884.42 / $95,499.26
| Facility | | $6,165.95 | $33,884.42 | $95,499.26 |