- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,877.62 / $25,703.96 / $33,113.11
| Facility | | $21,877.62 | $25,703.96 | $33,113.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,220.18 / $26,302.68 / $43,651.58
| Facility | | $11,220.18 | $26,302.68 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $151,356.12 / $151,356.12 / $151,356.12
| Facility | | $151,356.12 | $151,356.12 | $151,356.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $30,902.95 / $41,686.94
| Facility | | $22,908.68 | $30,902.95 | $41,686.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,125.38 / $28,183.83 / $46,773.51
| Facility | | $14,125.38 | $28,183.83 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,595.87 / $25,703.96 / $40,738.03
| Facility | | $16,595.87 | $25,703.96 | $40,738.03 |