- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,387.21 / $33,884.42 / $54,954.09
| Facility | | $22,387.21 | $33,884.42 | $54,954.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,964.78 / $23,442.29 / $39,810.72
| Facility | | $10,964.78 | $23,442.29 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $35,481.34 / $66,069.34
| Facility | | $20,892.96 | $35,481.34 | $66,069.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85,113.80 / $85,113.80 / $85,113.80
| Facility | | $85,113.80 | $85,113.80 | $85,113.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,882.50 / $31,622.78 / $54,954.09
| Facility | | $12,882.50 | $31,622.78 | $54,954.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $28,840.32 / $70,794.58
| Facility | | $20,892.96 | $28,840.32 | $70,794.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,079.46 / $28,840.32 / $64,565.42
| Facility | | $7,079.46 | $28,840.32 | $64,565.42 |