- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,997.40 / $43,541.20 / $56,849.10
| Facility | | $20,997.40 | $43,541.20 | $56,849.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $39,762.01 / $106,474.88
| Facility | | $5,840.42 | $39,762.01 | $106,474.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,602.21 / $40,680.28 / $61,468.40
| Facility | | $24,602.21 | $40,680.28 | $61,468.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57,770.19 / $57,770.19 / $57,770.19
| Facility | | $57,770.19 | $57,770.19 | $57,770.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,446.97 / $40,981.72 / $63,285.40
| Facility | | $35,446.97 | $40,981.72 | $63,285.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $39,762.01 / $106,474.88
| Facility | | $5,840.42 | $39,762.01 | $106,474.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $39,762.01 / $83,211.06
| Facility | | $5,840.42 | $39,762.01 | $83,211.06 |