- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,016.80 / $37,360.40 / $48,779.30
| Facility | | $18,016.80 | $37,360.40 | $48,779.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $33,677.08 / $91,360.65
| Facility | | $5,840.42 | $33,677.08 | $91,360.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,109.89 / $34,905.67 / $52,742.88
| Facility | | $21,109.89 | $34,905.67 | $52,742.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49,569.64 / $49,569.64 / $49,569.64
| Facility | | $49,569.64 | $49,569.64 | $49,569.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,415.23 / $35,164.32 / $54,301.96
| Facility | | $30,415.23 | $35,164.32 | $54,301.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $33,677.08 / $91,360.65
| Facility | | $5,840.42 | $33,677.08 | $91,360.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $34,117.75 / $71,399.14
| Facility | | $5,840.42 | $34,117.75 | $71,399.14 |