- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,157.30 / $31,430.90 / $41,037.40
| Facility | | $15,157.30 | $31,430.90 | $41,037.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $28,702.84 / $76,860.59
| Facility | | $5,840.42 | $28,702.84 | $76,860.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,759.49 / $29,365.71 / $44,371.94
| Facility | | $17,759.49 | $29,365.71 | $44,371.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,702.33 / $41,702.33 / $41,702.33
| Facility | | $41,702.33 | $41,702.33 | $41,702.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,587.96 / $29,583.31 / $45,683.58
| Facility | | $25,587.96 | $29,583.31 | $45,683.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $28,702.84 / $76,860.59
| Facility | | $5,840.42 | $28,702.84 | $76,860.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $28,702.84 / $60,067.23
| Facility | | $5,840.42 | $28,702.84 | $60,067.23 |