- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,643.30 / $32,438.60 / $42,353.20
| Facility | | $15,643.30 | $32,438.60 | $42,353.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $29,623.13 / $79,324.95
| Facility | | $5,840.42 | $29,623.13 | $79,324.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,328.91 / $30,307.26 / $45,794.63
| Facility | | $18,328.91 | $30,307.26 | $45,794.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,039.42 / $43,039.42 / $43,039.42
| Facility | | $43,039.42 | $43,039.42 | $43,039.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,408.38 / $30,531.83 / $47,148.32
| Facility | | $26,408.38 | $30,531.83 | $47,148.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $29,623.13 / $79,324.95
| Facility | | $5,840.42 | $29,623.13 | $79,324.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $29,623.13 / $61,993.15
| Facility | | $5,840.42 | $29,623.13 | $61,993.15 |