- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,091.50 / $35,441.60 / $46,274.10
| Facility | | $17,091.50 | $35,441.60 | $46,274.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $31,947.46 / $86,668.44
| Facility | | $5,840.42 | $31,947.46 | $86,668.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,025.71 / $33,112.94 / $50,034.05
| Facility | | $20,025.71 | $33,112.94 | $50,034.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,023.79 / $47,023.79 / $47,023.79
| Facility | | $47,023.79 | $47,023.79 | $47,023.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,853.13 / $33,358.31 / $51,513.06
| Facility | | $28,853.13 | $33,358.31 | $51,513.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $31,947.46 / $86,668.44
| Facility | | $5,840.42 | $31,947.46 | $86,668.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $25,170.38 / $67,732.14
| Facility | | $5,840.42 | $25,170.38 | $67,732.14 |