- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,988.33 / $33,884.42 / $54,954.09
| Facility | | $23,988.33 | $33,884.42 | $54,954.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,481.54 / $21,877.62 / $38,904.51
| Facility | | $11,481.54 | $21,877.62 | $38,904.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $38,018.94 / $66,069.34
| Facility | | $20,892.96 | $38,018.94 | $66,069.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83,176.38 / $83,176.38 / $83,176.38
| Facility | | $83,176.38 | $83,176.38 | $83,176.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,882.50 / $30,902.95 / $54,954.09
| Facility | | $12,882.50 | $30,902.95 | $54,954.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $30,902.95 / $70,794.58
| Facility | | $20,892.96 | $30,902.95 | $70,794.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,120.11 / $28,840.32 / $64,565.42
| Facility | | $9,120.11 | $28,840.32 | $64,565.42 |