- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,673.69 / $34,673.69 / $34,673.69
| Facility | | $34,673.69 | $34,673.69 | $34,673.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,884.42 / $54,954.09 / $85,113.80
| Facility | | $33,884.42 | $54,954.09 | $85,113.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $104,712.85 / $138,038.43 / $144,543.98
| Facility | | $104,712.85 | $138,038.43 | $144,543.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,673.69 / $34,673.69 / $81,283.05
| Facility | | $34,673.69 | $34,673.69 | $81,283.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,018.94 / $53,703.18 / $79,432.82
| Facility | | $38,018.94 | $53,703.18 | $79,432.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,810.72 / $54,954.09 / $57,543.99
| Facility | | $39,810.72 | $54,954.09 | $57,543.99 |