- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $23,442.29 / $70,794.58
| Facility | | $17,782.79 | $23,442.29 | $70,794.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,413.10 / $14,125.38 / $26,302.68
| Facility | | $7,413.10 | $14,125.38 | $26,302.68 |
- 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
- $17,782.79 / $23,442.29 / $38,904.51
| Facility | | $17,782.79 | $23,442.29 | $38,904.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,964.78 / $21,877.62 / $54,954.09
| Facility | | $10,964.78 | $21,877.62 | $54,954.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,964.78 / $21,877.62 / $54,954.09
| Facility | | $10,964.78 | $21,877.62 | $54,954.09 |