- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,988.33 / $30,902.95 / $61,659.50
| Facility | | $23,988.33 | $30,902.95 | $61,659.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,585.78 / $22,908.68 / $25,703.96
| Facility | | $7,585.78 | $22,908.68 | $25,703.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,748.98 / $28,183.83 / $47,863.01
| Facility | | $11,748.98 | $28,183.83 | $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 / $32,359.37 / $48,977.88
| Facility | | $24,547.09 | $32,359.37 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,135.61 / $30,199.52 / $54,954.09
| Facility | | $15,135.61 | $30,199.52 | $54,954.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,378.01 / $26,915.35 / $41,686.94
| Facility | | $17,378.01 | $26,915.35 | $41,686.94 |