- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $25,118.86 / $36,307.81
| Facility | | $19,498.45 | $25,118.86 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,549.93 / $22,387.21 / $38,904.51
| Facility | | $9,549.93 | $22,387.21 | $38,904.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $151,356.12 / $151,356.12 / $151,356.12
| Facility | | $151,356.12 | $151,356.12 | $151,356.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,982.44 / $23,988.33 / $44,668.36
| Facility | | $16,982.44 | $23,988.33 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,589.25 / $25,118.86 / $39,810.72
| Facility | | $12,589.25 | $25,118.86 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,791.08 / $22,908.68 / $34,673.69
| Facility | | $14,791.08 | $22,908.68 | $34,673.69 |