- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,218.10 / $33,884.42 / $56,234.13
| Facility | | $16,218.10 | $33,884.42 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $31,622.78 / $83,176.38
| Facility | | $6,165.95 | $31,622.78 | $83,176.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $32,359.37 / $48,977.88
| Facility | | $19,054.61 | $32,359.37 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,863.01 / $47,863.01 / $47,863.01
| Facility | | $47,863.01 | $47,863.01 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $30,902.95 / $83,176.38
| Facility | | $6,165.95 | $30,902.95 | $83,176.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $31,622.78 / $83,176.38
| Facility | | $6,165.95 | $31,622.78 | $83,176.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $25,118.86 / $72,443.60
| Facility | | $6,165.95 | $25,118.86 | $72,443.60 |