- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,570.50 / $30,214.10 / $39,448.69
| Facility | | $14,570.50 | $30,214.10 | $39,448.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $27,235.28 / $73,885.05
| Facility | | $5,840.42 | $27,235.28 | $73,885.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,071.96 / $28,228.86 / $42,654.15
| Facility | | $17,071.96 | $28,228.86 | $42,654.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,087.89 / $40,087.89 / $40,087.89
| Facility | | $40,087.89 | $40,087.89 | $40,087.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,597.36 / $28,438.03 / $43,915.00
| Facility | | $24,597.36 | $28,438.03 | $43,915.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $27,235.28 / $73,885.05
| Facility | | $5,840.42 | $27,235.28 | $73,885.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $21,457.81 / $57,741.82
| Facility | | $5,840.42 | $21,457.81 | $57,741.82 |