- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,269.80 / $35,811.40 / $46,756.80
| Facility | | $17,269.80 | $35,811.40 | $46,756.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $32,703.12 / $87,572.55
| Facility | | $5,840.42 | $32,703.12 | $87,572.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,234.61 / $33,458.37 / $50,556.00
| Facility | | $20,234.61 | $33,458.37 | $50,556.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,514.33 / $47,514.33 / $47,514.33
| Facility | | $47,514.33 | $47,514.33 | $47,514.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,154.12 / $33,706.29 / $52,050.43
| Facility | | $29,154.12 | $33,706.29 | $52,050.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $32,703.12 / $87,572.55
| Facility | | $5,840.42 | $32,703.12 | $87,572.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $32,703.12 / $68,438.72
| Facility | | $5,840.42 | $32,703.12 | $68,438.72 |