- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,211.90 / $27,396.70 / $35,770.30
| Facility | | $13,211.90 | $27,396.70 | $35,770.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $24,695.68 / $66,995.52
| Facility | | $5,840.42 | $24,695.68 | $66,995.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,480.06 / $25,596.62 / $38,676.79
| Facility | | $15,480.06 | $25,596.62 | $38,676.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,349.83 / $36,349.83 / $36,349.83
| Facility | | $36,349.83 | $36,349.83 | $36,349.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,303.74 / $25,786.28 / $39,820.08
| Facility | | $22,303.74 | $25,786.28 | $39,820.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $24,695.68 / $66,995.52
| Facility | | $5,840.42 | $24,695.68 | $66,995.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $19,456.93 / $52,357.59
| Facility | | $5,840.42 | $19,456.93 | $52,357.59 |