- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $42,657.95 / $66,069.34
| Facility | | $19,054.61 | $42,657.95 | $66,069.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $36,307.81 / $97,723.72
| Facility | | $6,165.95 | $36,307.81 | $97,723.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,387.21 / $38,018.94 / $61,659.50
| Facility | | $22,387.21 | $38,018.94 | $61,659.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54,954.09 / $54,954.09 / $54,954.09
| Facility | | $54,954.09 | $54,954.09 | $54,954.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $36,307.81 / $97,723.72
| Facility | | $6,165.95 | $36,307.81 | $97,723.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $36,307.81 / $97,723.72
| Facility | | $6,165.95 | $36,307.81 | $97,723.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $31,622.78 / $85,113.80
| Facility | | $6,165.95 | $31,622.78 | $85,113.80 |