- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $36,307.81 / $61,659.50
| Facility | | $17,782.79 | $36,307.81 | $61,659.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $33,884.42 / $89,125.09
| Facility | | $6,165.95 | $33,884.42 | $89,125.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $34,673.69 / $52,480.75
| Facility | | $20,892.96 | $34,673.69 | $52,480.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51,286.14 / $51,286.14 / $51,286.14
| Facility | | $51,286.14 | $51,286.14 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $33,113.11 / $89,125.09
| Facility | | $6,165.95 | $33,113.11 | $89,125.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $33,884.42 / $89,125.09
| Facility | | $6,165.95 | $33,884.42 | $89,125.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $26,915.35 / $77,624.71
| Facility | | $6,165.95 | $26,915.35 | $77,624.71 |