- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,442.29 / $26,915.35 / $34,673.69
| Facility | | $23,442.29 | $26,915.35 | $34,673.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,118.86 / $25,118.86 / $25,118.86
| Facility | | $25,118.86 | $25,118.86 | $25,118.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,022.64 / $28,183.83 / $48,977.88
| Facility | | $12,022.64 | $28,183.83 | $48,977.88 |
- 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
- $25,118.86 / $32,359.37 / $46,773.51
| Facility | | $25,118.86 | $32,359.37 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,135.61 / $29,512.09 / $50,118.72
| Facility | | $15,135.61 | $29,512.09 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $27,542.29 / $42,657.95
| Facility | | $17,782.79 | $27,542.29 | $42,657.95 |