- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,822.00 / $50,082.20 / $65,389.40
| Facility | | $3,822.00 | $50,082.20 | $65,389.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $45,144.64 / $122,470.34
| Facility | | $5,840.42 | $45,144.64 | $122,470.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,298.14 / $46,791.58 / $70,702.64
| Facility | | $28,298.14 | $46,791.58 | $70,702.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66,448.86 / $66,448.86 / $66,448.86
| Facility | | $66,448.86 | $66,448.86 | $66,448.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,772.08 / $47,138.30 / $72,792.61
| Facility | | $40,772.08 | $47,138.30 | $72,792.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $45,144.64 / $122,470.34
| Facility | | $5,840.42 | $45,144.64 | $122,470.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $45,735.36 / $95,711.66
| Facility | | $5,840.42 | $45,735.36 | $95,711.66 |