- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,094.90 / $31,301.40 / $40,868.40
| Facility | | $15,094.90 | $31,301.40 | $40,868.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $28,584.60 / $76,543.96
| Facility | | $5,840.42 | $28,584.60 | $76,543.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,686.33 / $29,244.74 / $44,189.15
| Facility | | $17,686.33 | $29,244.74 | $44,189.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,530.54 / $41,530.54 / $41,530.54
| Facility | | $41,530.54 | $41,530.54 | $41,530.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,482.55 / $29,461.44 / $45,495.38
| Facility | | $25,482.55 | $29,461.44 | $45,495.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $28,584.60 / $76,543.96
| Facility | | $5,840.42 | $28,584.60 | $76,543.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $28,584.60 / $59,819.78
| Facility | | $5,840.42 | $28,584.60 | $59,819.78 |