- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,220.18 / $23,442.29 / $38,904.51
| Facility | | $11,220.18 | $23,442.29 | $38,904.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $21,379.62 / $57,543.99
| Facility | | $6,165.95 | $21,379.62 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,182.57 / $22,387.21 / $33,113.11
| Facility | | $13,182.57 | $22,387.21 | $33,113.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,359.37 / $32,359.37 / $32,359.37
| Facility | | $32,359.37 | $32,359.37 | $32,359.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $21,379.62 / $57,543.99
| Facility | | $6,165.95 | $21,379.62 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $21,379.62 / $57,543.99
| Facility | | $6,165.95 | $21,379.62 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $17,378.01 / $50,118.72
| Facility | | $6,165.95 | $17,378.01 | $50,118.72 |