- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,979.80 / $39,357.19 / $51,386.40
| Facility | | $18,979.80 | $39,357.19 | $51,386.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $35,941.23 / $96,243.59
| Facility | | $5,840.42 | $35,941.23 | $96,243.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,238.15 / $36,771.26 / $55,561.83
| Facility | | $22,238.15 | $36,771.26 | $55,561.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,218.98 / $52,218.98 / $52,218.98
| Facility | | $52,218.98 | $52,218.98 | $52,218.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,040.83 / $37,043.74 / $57,204.23
| Facility | | $32,040.83 | $37,043.74 | $57,204.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $35,941.23 / $96,243.59
| Facility | | $5,840.42 | $35,941.23 | $96,243.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $35,941.23 / $75,215.22
| Facility | | $5,840.42 | $35,941.23 | $75,215.22 |