- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,378.01 / $35,481.34 / $60,255.96
| Facility | | $17,378.01 | $35,481.34 | $60,255.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $32,359.37 / $87,096.36
| Facility | | $6,165.95 | $32,359.37 | $87,096.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,952.62 / $33,884.42 / $51,286.14
| Facility | | $19,952.62 | $33,884.42 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,118.72 / $50,118.72 / $50,118.72
| Facility | | $50,118.72 | $50,118.72 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $32,359.37 / $87,096.36
| Facility | | $6,165.95 | $32,359.37 | $87,096.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $32,359.37 / $87,096.36
| Facility | | $6,165.95 | $32,359.37 | $87,096.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $26,302.68 / $75,857.76
| Facility | | $6,165.95 | $26,302.68 | $75,857.76 |