- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,915.35 / $44,668.36 / $79,432.82
| Facility | | $26,915.35 | $44,668.36 | $79,432.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,651.58 / $43,651.58 / $43,651.58
| Facility | | $43,651.58 | $43,651.58 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,589.25 / $41,686.94 / $77,624.71
| Facility | | $12,589.25 | $41,686.94 | $77,624.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $151,356.12 / $151,356.12 / $151,356.12
| Facility | | $151,356.12 | $151,356.12 | $151,356.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,481.34 / $48,977.88 / $74,131.02
| Facility | | $35,481.34 | $48,977.88 | $74,131.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,952.62 / $50,118.72 / $77,624.71
| Facility | | $19,952.62 | $50,118.72 | $77,624.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $45,708.82 / $69,183.10
| Facility | | $24,547.09 | $45,708.82 | $69,183.10 |