- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,952.90 / $37,227.80 / $48,606.20
| Facility | | $17,952.90 | $37,227.80 | $48,606.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $33,996.65 / $91,036.39
| Facility | | $5,840.42 | $33,996.65 | $91,036.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,034.97 / $34,781.78 / $52,555.69
| Facility | | $21,034.97 | $34,781.78 | $52,555.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49,393.71 / $49,393.71 / $49,393.71
| Facility | | $49,393.71 | $49,393.71 | $49,393.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,307.28 / $35,039.51 / $54,109.23
| Facility | | $30,307.28 | $35,039.51 | $54,109.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $33,996.65 / $91,036.39
| Facility | | $5,840.42 | $33,996.65 | $91,036.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $33,996.65 / $71,145.74
| Facility | | $5,840.42 | $33,996.65 | $71,145.74 |