- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,884.42 / $33,884.42 / $33,884.42
| Facility | | $33,884.42 | $33,884.42 | $33,884.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,840.32 / $46,773.51 / $81,283.05
| Facility | | $28,840.32 | $46,773.51 | $81,283.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $102,329.30 / $134,896.29 / $141,253.75
| Facility | | $102,329.30 | $134,896.29 | $141,253.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,884.42 / $33,884.42 / $79,432.82
| Facility | | $33,884.42 | $33,884.42 | $79,432.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,153.52 / $53,703.18 / $81,283.05
| Facility | | $37,153.52 | $53,703.18 | $81,283.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,810.72 / $53,703.18 / $83,176.38
| Facility | | $39,810.72 | $53,703.18 | $83,176.38 |