- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,818.20 / $45,243.10 / $59,071.30
| Facility | | $21,818.20 | $45,243.10 | $59,071.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $41,316.25 / $110,636.83
| Facility | | $5,840.42 | $41,316.25 | $110,636.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,563.87 / $42,270.42 / $63,871.10
| Facility | | $25,563.87 | $42,270.42 | $63,871.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60,028.34 / $60,028.34 / $60,028.34
| Facility | | $60,028.34 | $60,028.34 | $60,028.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,832.54 / $42,583.64 / $65,759.13
| Facility | | $36,832.54 | $42,583.64 | $65,759.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $41,316.25 / $110,636.83
| Facility | | $5,840.42 | $41,316.25 | $110,636.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $41,316.25 / $86,463.66
| Facility | | $5,840.42 | $41,316.25 | $86,463.66 |