- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,197.01 / $39,810.72 / $64,565.42
| Facility | | $18,197.01 | $39,810.72 | $64,565.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,791.08 / $28,840.32 / $57,543.99
| Facility | | $14,791.08 | $28,840.32 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $39,810.72 / $83,176.38
| Facility | | $24,547.09 | $39,810.72 | $83,176.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $97,723.72 / $97,723.72 / $97,723.72
| Facility | | $97,723.72 | $97,723.72 | $97,723.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,848.93 / $30,199.52 / $64,565.42
| Facility | | $15,848.93 | $30,199.52 | $64,565.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $38,018.94 / $89,125.09
| Facility | | $24,547.09 | $38,018.94 | $89,125.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,748.98 / $33,884.42 / $89,125.09
| Facility | | $11,748.98 | $33,884.42 | $89,125.09 |