- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,983.70 / $37,291.80 / $48,689.70
| Facility | | $17,983.70 | $37,291.80 | $48,689.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $34,055.06 / $91,192.79
| Facility | | $5,840.42 | $34,055.06 | $91,192.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,071.11 / $34,841.54 / $52,645.98
| Facility | | $21,071.11 | $34,841.54 | $52,645.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49,478.57 / $49,478.57 / $49,478.57
| Facility | | $49,478.57 | $49,478.57 | $49,478.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,359.35 / $35,099.71 / $54,202.20
| Facility | | $30,359.35 | $35,099.71 | $54,202.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $34,055.06 / $91,192.79
| Facility | | $5,840.42 | $34,055.06 | $91,192.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $34,055.06 / $71,267.98
| Facility | | $5,840.42 | $34,055.06 | $71,267.98 |