- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,400.50 / $29,861.50 / $38,988.40
| Facility | | $14,400.50 | $29,861.50 | $38,988.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $27,269.69 / $73,022.89
| Facility | | $5,840.42 | $27,269.69 | $73,022.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,872.75 / $27,899.47 / $42,156.43
| Facility | | $16,872.75 | $27,899.47 | $42,156.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,620.11 / $39,620.11 / $39,620.11
| Facility | | $39,620.11 | $39,620.11 | $39,620.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,310.34 / $28,106.20 / $43,402.57
| Facility | | $24,310.34 | $28,106.20 | $43,402.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $27,269.69 / $73,022.89
| Facility | | $5,840.42 | $27,269.69 | $73,022.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $27,269.69 / $57,068.04
| Facility | | $5,840.42 | $27,269.69 | $57,068.04 |