- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,863.90 / $55,706.00 / $72,732.10
| Facility | | $26,863.90 | $55,706.00 | $72,732.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $50,871.04 / $136,222.69
| Facility | | $5,840.42 | $50,871.04 | $136,222.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,475.77 / $52,045.87 / $78,641.92
| Facility | | $31,475.77 | $52,045.87 | $78,641.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $73,910.49 / $73,910.49 / $73,910.49
| Facility | | $73,910.49 | $73,910.49 | $73,910.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,350.43 / $52,431.52 / $80,966.59
| Facility | | $45,350.43 | $52,431.52 | $80,966.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $50,871.04 / $136,222.69
| Facility | | $5,840.42 | $50,871.04 | $136,222.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $50,871.04 / $106,459.24
| Facility | | $5,840.42 | $50,871.04 | $106,459.24 |