- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,403.30 / $40,235.50 / $52,533.10
| Facility | | $19,403.30 | $40,235.50 | $52,533.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $36,268.71 / $98,391.32
| Facility | | $5,840.42 | $36,268.71 | $98,391.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,734.41 / $37,591.83 / $56,801.72
| Facility | | $22,734.41 | $37,591.83 | $56,801.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,384.28 / $53,384.28 / $53,384.28
| Facility | | $53,384.28 | $53,384.28 | $53,384.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,755.84 / $37,870.39 / $58,480.78
| Facility | | $32,755.84 | $37,870.39 | $58,480.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $36,268.71 / $98,391.32
| Facility | | $5,840.42 | $36,268.71 | $98,391.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $28,574.96 / $76,893.69
| Facility | | $5,840.42 | $28,574.96 | $76,893.69 |