- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,848.93 / $32,359.37 / $54,954.09
| Facility | | $15,848.93 | $32,359.37 | $54,954.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $29,512.09 / $79,432.82
| Facility | | $6,165.95 | $29,512.09 | $79,432.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,620.87 / $30,902.95 / $46,773.51
| Facility | | $18,620.87 | $30,902.95 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,708.82 / $45,708.82 / $45,708.82
| Facility | | $45,708.82 | $45,708.82 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $29,512.09 / $79,432.82
| Facility | | $6,165.95 | $29,512.09 | $79,432.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $29,512.09 / $79,432.82
| Facility | | $6,165.95 | $29,512.09 | $79,432.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $24,547.09 / $69,183.10
| Facility | | $6,165.95 | $24,547.09 | $69,183.10 |