- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,843.50 / $24,559.10 / $32,065.30
| Facility | | $11,843.50 | $24,559.10 | $32,065.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $22,427.48 / $60,056.40
| Facility | | $5,840.42 | $22,427.48 | $60,056.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,876.70 / $22,945.42 / $34,670.81
| Facility | | $13,876.70 | $22,945.42 | $34,670.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,584.86 / $32,584.86 / $32,584.86
| Facility | | $32,584.86 | $32,584.86 | $32,584.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,993.61 / $23,115.45 / $35,695.68
| Facility | | $19,993.61 | $23,115.45 | $35,695.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $22,427.48 / $60,056.40
| Facility | | $5,840.42 | $22,427.48 | $60,056.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $22,427.48 / $46,934.61
| Facility | | $5,840.42 | $22,427.48 | $46,934.61 |