- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,120.09 / $35,500.90 / $46,351.50
| Facility | | $17,120.09 | $35,500.90 | $46,351.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $32,419.62 / $86,813.40
| Facility | | $5,840.42 | $32,419.62 | $86,813.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,059.20 / $33,168.33 / $50,117.74
| Facility | | $20,059.20 | $33,168.33 | $50,117.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,102.44 / $47,102.44 / $47,102.44
| Facility | | $47,102.44 | $47,102.44 | $47,102.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,901.39 / $33,414.10 / $51,599.22
| Facility | | $28,901.39 | $33,414.10 | $51,599.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $32,419.62 / $86,813.40
| Facility | | $5,840.42 | $32,419.62 | $86,813.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $32,419.62 / $67,845.44
| Facility | | $5,840.42 | $32,419.62 | $67,845.44 |