- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,378.01 / $36,307.81 / $60,255.96
| Facility | | $17,378.01 | $36,307.81 | $60,255.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $33,884.42 / $89,125.09
| Facility | | $6,165.95 | $33,884.42 | $89,125.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,417.38 / $34,673.69 / $51,286.14
| Facility | | $20,417.38 | $34,673.69 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,118.72 / $50,118.72 / $50,118.72
| Facility | | $50,118.72 | $50,118.72 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $33,113.11 / $89,125.09
| Facility | | $6,165.95 | $33,113.11 | $89,125.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $33,884.42 / $89,125.09
| Facility | | $6,165.95 | $33,884.42 | $89,125.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $26,915.35 / $77,624.71
| Facility | | $6,165.95 | $26,915.35 | $77,624.71 |