- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,302.69 / $25,703.96 / $42,657.95
| Facility | | $12,302.69 | $25,703.96 | $42,657.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $23,442.29 / $61,659.50
| Facility | | $6,165.95 | $23,442.29 | $61,659.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,454.40 / $24,547.09 / $36,307.81
| Facility | | $14,454.40 | $24,547.09 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,481.34 / $35,481.34 / $35,481.34
| Facility | | $35,481.34 | $35,481.34 | $35,481.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $22,908.68 / $61,659.50
| Facility | | $6,165.95 | $22,908.68 | $61,659.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $23,442.29 / $61,659.50
| Facility | | $6,165.95 | $23,442.29 | $61,659.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $18,620.87 / $53,703.18
| Facility | | $6,165.95 | $18,620.87 | $53,703.18 |