- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,547.80 / $32,240.50 / $42,094.50
| Facility | | $15,547.80 | $32,240.50 | $42,094.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $29,442.21 / $78,840.47
| Facility | | $5,840.42 | $29,442.21 | $78,840.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,216.97 / $30,122.15 / $45,514.93
| Facility | | $18,216.97 | $30,122.15 | $45,514.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,776.56 / $42,776.56 / $42,776.56
| Facility | | $42,776.56 | $42,776.56 | $42,776.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,247.09 / $30,345.36 / $46,860.36
| Facility | | $26,247.09 | $30,345.36 | $46,860.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $29,442.21 / $78,840.47
| Facility | | $5,840.42 | $29,442.21 | $78,840.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $29,442.21 / $61,614.53
| Facility | | $5,840.42 | $29,442.21 | $61,614.53 |