- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,703.96 / $40,738.03 / $54,954.09
| Facility | | $25,703.96 | $40,738.03 | $54,954.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,359.37 / $32,359.37 / $32,359.37
| Facility | | $32,359.37 | $32,359.37 | $32,359.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,977.88 / $70,794.58 / $89,125.09
| Facility | | $48,977.88 | $70,794.58 | $89,125.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,977.88 / $48,977.88 / $48,977.88
| Facility | | $48,977.88 | $48,977.88 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,302.68 / $37,153.52 / $51,286.14
| Facility | | $26,302.68 | $37,153.52 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,977.88 / $48,977.88 / $48,977.88
| Facility | | $48,977.88 | $48,977.88 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $34,673.69 / $56,234.13
| Facility | | $22,908.68 | $34,673.69 | $56,234.13 |