- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $44,668.36 / $74,131.02
| Facility | | $21,379.62 | $44,668.36 | $74,131.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $40,738.03 / $109,647.82
| Facility | | $6,165.95 | $40,738.03 | $109,647.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,118.86 / $44,668.36 / $64,565.42
| Facility | | $25,118.86 | $44,668.36 | $64,565.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $22,908.68 / $63,095.73
| Facility | | $22,908.68 | $22,908.68 | $63,095.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $40,738.03 / $109,647.82
| Facility | | $6,165.95 | $40,738.03 | $109,647.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $40,738.03 / $109,647.82
| Facility | | $6,165.95 | $40,738.03 | $109,647.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,772.37 / $33,113.11 / $95,499.26
| Facility | | $9,772.37 | $33,113.11 | $95,499.26 |