- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,476.70 / $36,240.40 / $47,316.90
| Facility | | $17,476.70 | $36,240.40 | $47,316.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $32,667.43 / $88,621.62
| Facility | | $5,840.42 | $32,667.43 | $88,621.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,477.00 / $33,859.18 / $51,161.63
| Facility | | $20,477.00 | $33,859.18 | $51,161.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,083.52 / $48,083.52 / $48,083.52
| Facility | | $48,083.52 | $48,083.52 | $48,083.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,503.37 / $34,110.08 / $52,673.97
| Facility | | $29,503.37 | $34,110.08 | $52,673.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $32,667.43 / $88,621.62
| Facility | | $5,840.42 | $32,667.43 | $88,621.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $25,737.62 / $69,258.58
| Facility | | $5,840.42 | $25,737.62 | $69,258.58 |