- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,678.50 / $42,879.70 / $55,985.50
| Facility | | $20,678.50 | $42,879.70 | $55,985.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $38,652.22 / $104,857.41
| Facility | | $5,840.42 | $38,652.22 | $104,857.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,228.47 / $40,062.30 / $60,534.62
| Facility | | $24,228.47 | $40,062.30 | $60,534.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56,892.59 / $56,892.59 / $56,892.59
| Facility | | $56,892.59 | $56,892.59 | $56,892.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,908.49 / $40,359.16 / $62,324.02
| Facility | | $34,908.49 | $40,359.16 | $62,324.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $38,652.22 / $104,857.41
| Facility | | $5,840.42 | $38,652.22 | $104,857.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $38,652.22 / $91,262.34
| Facility | | $3,775.00 | $38,652.22 | $91,262.34 |