- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,840.32 / $43,651.58 / $70,794.58
| Facility | | $28,840.32 | $43,651.58 | $70,794.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57,543.99 / $57,543.99 / $57,543.99
| Facility | | $57,543.99 | $57,543.99 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,125.38 / $28,840.32 / $50,118.72
| Facility | | $14,125.38 | $28,840.32 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,915.35 / $48,977.88 / $97,723.72
| Facility | | $26,915.35 | $48,977.88 | $97,723.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $109,647.82 / $109,647.82 / $109,647.82
| Facility | | $109,647.82 | $109,647.82 | $109,647.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,595.87 / $40,738.03 / $70,794.58
| Facility | | $16,595.87 | $40,738.03 | $70,794.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,302.68 / $39,810.72 / $97,723.72
| Facility | | $26,302.68 | $39,810.72 | $97,723.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,454.40 / $33,113.11 / $79,432.82
| Facility | | $14,454.40 | $33,113.11 | $79,432.82 |