- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,387.70 / $38,129.50 / $49,783.50
| Facility | | $18,387.70 | $38,129.50 | $49,783.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $34,820.07 / $93,241.34
| Facility | | $5,840.42 | $34,820.07 | $93,241.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,544.45 / $35,624.22 / $53,828.62
| Facility | | $21,544.45 | $35,624.22 | $53,828.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,590.05 / $50,590.05 / $50,590.05
| Facility | | $50,590.05 | $50,590.05 | $50,590.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,041.34 / $35,888.19 / $55,419.79
| Facility | | $31,041.34 | $35,888.19 | $55,419.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $34,820.07 / $93,241.34
| Facility | | $5,840.42 | $34,820.07 | $93,241.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $34,820.07 / $72,868.92
| Facility | | $5,840.42 | $34,820.07 | $72,868.92 |