- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,391.50 / $46,431.80 / $60,623.30
| Facility | | $22,391.50 | $46,431.80 | $60,623.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $41,854.14 / $113,543.71
| Facility | | $5,840.42 | $41,854.14 | $113,543.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,235.54 / $43,381.03 / $65,549.25
| Facility | | $26,235.54 | $43,381.03 | $65,549.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61,605.53 / $61,605.53 / $61,605.53
| Facility | | $61,605.53 | $61,605.53 | $61,605.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,800.28 / $43,702.48 / $67,486.89
| Facility | | $37,800.28 | $43,702.48 | $67,486.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $41,854.14 / $113,543.71
| Facility | | $5,840.42 | $41,854.14 | $113,543.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $42,401.79 / $88,735.41
| Facility | | $5,840.42 | $42,401.79 | $88,735.41 |