- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,756.90 / $32,674.20 / $42,660.80
| Facility | | $15,756.90 | $32,674.20 | $42,660.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $29,838.25 / $79,900.99
| Facility | | $5,840.42 | $29,838.25 | $79,900.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,462.00 / $30,527.34 / $46,127.17
| Facility | | $18,462.00 | $30,527.34 | $46,127.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,351.96 / $43,351.96 / $43,351.96
| Facility | | $43,351.96 | $43,351.96 | $43,351.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,600.15 / $30,753.54 / $47,490.69
| Facility | | $26,600.15 | $30,753.54 | $47,490.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $29,838.25 / $79,900.99
| Facility | | $5,840.42 | $29,838.25 | $79,900.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $29,838.25 / $62,443.33
| Facility | | $5,840.42 | $29,838.25 | $62,443.33 |