- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $30,199.52 / $48,977.88
| Facility | | $21,379.62 | $30,199.52 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,715.19 / $21,877.62 / $37,153.52
| Facility | | $10,715.19 | $21,877.62 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,620.87 / $34,673.69 / $67,608.30
| Facility | | $18,620.87 | $34,673.69 | $67,608.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75,857.76 / $75,857.76 / $75,857.76
| Facility | | $75,857.76 | $75,857.76 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,481.54 / $29,512.09 / $48,977.88
| Facility | | $11,481.54 | $29,512.09 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,620.87 / $28,183.83 / $67,608.30
| Facility | | $18,620.87 | $28,183.83 | $67,608.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,912.51 / $27,542.29 / $54,954.09
| Facility | | $8,912.51 | $27,542.29 | $54,954.09 |