- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,909.20 / $45,431.90 / $59,317.70
| Facility | | $21,909.20 | $45,431.90 | $59,317.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $41,488.62 / $111,098.42
| Facility | | $5,840.42 | $41,488.62 | $111,098.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,670.53 / $42,446.77 / $64,137.58
| Facility | | $25,670.53 | $42,446.77 | $64,137.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60,278.79 / $60,278.79 / $60,278.79
| Facility | | $60,278.79 | $60,278.79 | $60,278.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,986.21 / $42,761.30 / $66,033.49
| Facility | | $36,986.21 | $42,761.30 | $66,033.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $41,488.62 / $111,098.42
| Facility | | $5,840.42 | $41,488.62 | $111,098.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $42,074.00 / $96,694.18
| Facility | | $5,840.42 | $42,074.00 | $96,694.18 |