- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,218.10 / $33,113.11 / $56,234.13
| Facility | | $16,218.10 | $33,113.11 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $30,199.52 / $81,283.05
| Facility | | $6,165.95 | $30,199.52 | $81,283.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $31,622.78 / $47,863.01
| Facility | | $19,054.61 | $31,622.78 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,773.51 / $46,773.51 / $46,773.51
| Facility | | $46,773.51 | $46,773.51 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $30,199.52 / $81,283.05
| Facility | | $6,165.95 | $30,199.52 | $81,283.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $30,199.52 / $81,283.05
| Facility | | $6,165.95 | $30,199.52 | $81,283.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $24,547.09 / $70,794.58
| Facility | | $6,165.95 | $24,547.09 | $70,794.58 |