- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,408.40 / $34,025.19 / $44,424.60
| Facility | | $16,408.40 | $34,025.19 | $44,424.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $31,071.95 / $83,204.60
| Facility | | $5,840.42 | $31,071.95 | $83,204.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,225.34 / $31,789.53 / $48,034.37
| Facility | | $19,225.34 | $31,789.53 | $48,034.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,144.41 / $45,144.41 / $45,144.41
| Facility | | $45,144.41 | $45,144.41 | $45,144.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,699.97 / $32,025.09 / $49,454.26
| Facility | | $27,699.97 | $32,025.09 | $49,454.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $31,071.95 / $83,204.60
| Facility | | $5,840.42 | $31,071.95 | $83,204.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $31,071.95 / $65,025.13
| Facility | | $5,840.42 | $31,071.95 | $65,025.13 |