- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,034.09 / $37,396.30 / $48,826.20
| Facility | | $18,034.09 | $37,396.30 | $48,826.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $34,150.51 / $91,448.39
| Facility | | $5,840.42 | $34,150.51 | $91,448.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,130.17 / $34,939.19 / $52,793.54
| Facility | | $21,130.17 | $34,939.19 | $52,793.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49,617.25 / $49,617.25 / $49,617.25
| Facility | | $49,617.25 | $49,617.25 | $49,617.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,444.44 / $35,198.08 / $54,354.11
| Facility | | $30,444.44 | $35,198.08 | $54,354.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $34,150.51 / $91,448.39
| Facility | | $5,840.42 | $34,150.51 | $91,448.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $34,150.51 / $71,467.72
| Facility | | $5,840.42 | $34,150.51 | $71,467.72 |