- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,194.59 / $35,655.40 / $46,553.10
| Facility | | $17,194.59 | $35,655.40 | $46,553.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $32,140.11 / $87,191.07
| Facility | | $5,840.42 | $32,140.11 | $87,191.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,146.47 / $33,312.62 / $50,335.77
| Facility | | $20,146.47 | $33,312.62 | $50,335.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,307.35 / $47,307.35 / $47,307.35
| Facility | | $47,307.35 | $47,307.35 | $47,307.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,027.12 / $33,559.46 / $51,823.69
| Facility | | $29,027.12 | $33,559.46 | $51,823.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $32,140.11 / $87,191.07
| Facility | | $5,840.42 | $32,140.11 | $87,191.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $25,322.16 / $68,140.59
| Facility | | $5,840.42 | $25,322.16 | $68,140.59 |