- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,884.42 / $39,810.72 / $51,286.14
| Facility | | $33,884.42 | $39,810.72 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,378.01 / $41,686.94 / $69,183.10
| Facility | | $17,378.01 | $41,686.94 | $69,183.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $151,356.12 / $151,356.12 / $151,356.12
| Facility | | $151,356.12 | $151,356.12 | $151,356.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,113.11 / $43,651.58 / $69,183.10
| Facility | | $33,113.11 | $43,651.58 | $69,183.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $42,657.95 / $69,183.10
| Facility | | $19,054.61 | $42,657.95 | $69,183.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $38,018.94 / $60,255.96
| Facility | | $19,054.61 | $38,018.94 | $60,255.96 |