- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,877.62 / $25,118.86 / $32,359.37
| Facility | | $21,877.62 | $25,118.86 | $32,359.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,025.60 / $12,022.64 / $31,622.78
| Facility | | $6,025.60 | $12,022.64 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,220.18 / $26,302.68 / $45,708.82
| Facility | | $11,220.18 | $26,302.68 | $45,708.82 |
- 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
- $23,442.29 / $30,199.52 / $43,651.58
| Facility | | $23,442.29 | $30,199.52 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,125.38 / $27,542.29 / $46,773.51
| Facility | | $14,125.38 | $27,542.29 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,595.87 / $25,703.96 / $39,810.72
| Facility | | $16,595.87 | $25,703.96 | $39,810.72 |