- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,687.30 / $36,677.19 / $47,887.20
| Facility | | $17,687.30 | $36,677.19 | $47,887.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $33,493.76 / $89,689.76
| Facility | | $5,840.42 | $33,493.76 | $89,689.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,723.82 / $34,267.28 / $51,778.28
| Facility | | $20,723.82 | $34,267.28 | $51,778.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,663.07 / $48,663.07 / $48,663.07
| Facility | | $48,663.07 | $48,663.07 | $48,663.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,858.97 / $34,521.19 / $53,308.84
| Facility | | $29,858.97 | $34,521.19 | $53,308.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $33,493.76 / $89,689.76
| Facility | | $5,840.42 | $33,493.76 | $89,689.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $33,493.76 / $70,093.34
| Facility | | $5,840.42 | $33,493.76 | $70,093.34 |