- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,442.29 / $27,542.29 / $91,201.08
| Facility | | $23,442.29 | $27,542.29 | $91,201.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,481.54 / $27,542.29 / $47,863.01
| Facility | | $11,481.54 | $27,542.29 | $47,863.01 |
- 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
- $24,547.09 / $31,622.78 / $81,283.05
| Facility | | $24,547.09 | $31,622.78 | $81,283.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,454.40 / $30,199.52 / $54,954.09
| Facility | | $14,454.40 | $30,199.52 | $54,954.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,135.61 / $26,915.35 / $42,657.95
| Facility | | $15,135.61 | $26,915.35 | $42,657.95 |