- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,118.86 / $33,113.11 / $66,069.34
| Facility | | $25,118.86 | $33,113.11 | $66,069.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,882.50 / $30,199.52 / $60,255.96
| Facility | | $12,882.50 | $30,199.52 | $60,255.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,118.86 / $25,118.86 / $151,356.12
| Facility | | $25,118.86 | $25,118.86 | $151,356.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,715.19 / $31,622.78 / $60,255.96
| Facility | | $10,715.19 | $31,622.78 | $60,255.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,595.87 / $33,113.11 / $75,857.76
| Facility | | $16,595.87 | $33,113.11 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $30,199.52 / $57,543.99
| Facility | | $19,498.45 | $30,199.52 | $57,543.99 |