- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,741.70 / $43,010.80 / $56,156.60
| Facility | | $20,741.70 | $43,010.80 | $56,156.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $38,770.33 / $105,177.85
| Facility | | $5,840.42 | $38,770.33 | $105,177.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,302.51 / $40,184.73 / $60,719.61
| Facility | | $24,302.51 | $40,184.73 | $60,719.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57,066.46 / $57,066.46 / $57,066.46
| Facility | | $57,066.46 | $57,066.46 | $57,066.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,015.17 / $40,482.50 / $62,514.49
| Facility | | $35,015.17 | $40,482.50 | $62,514.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $38,770.33 / $105,177.85
| Facility | | $5,840.42 | $38,770.33 | $105,177.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $30,545.91 / $82,197.42
| Facility | | $5,840.42 | $30,545.91 | $82,197.42 |