- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,848.93 / $33,113.11 / $54,954.09
| Facility | | $15,848.93 | $33,113.11 | $54,954.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $30,199.52 / $81,283.05
| Facility | | $6,165.95 | $30,199.52 | $81,283.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,620.87 / $31,622.78 / $46,773.51
| Facility | | $18,620.87 | $31,622.78 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,708.82 / $45,708.82 / $45,708.82
| Facility | | $45,708.82 | $45,708.82 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $29,512.09 / $81,283.05
| Facility | | $6,165.95 | $29,512.09 | $81,283.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $30,199.52 / $81,283.05
| Facility | | $6,165.95 | $30,199.52 | $81,283.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $24,547.09 / $70,794.58
| Facility | | $6,165.95 | $24,547.09 | $70,794.58 |