- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,915.35 / $30,902.95 / $40,738.03
| Facility | | $26,915.35 | $30,902.95 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,302.69 / $12,302.69 / $12,302.69
| Facility | | $12,302.69 | $12,302.69 | $12,302.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,715.19 / $30,902.95 / $56,234.13
| Facility | | $10,715.19 | $30,902.95 | $56,234.13 |
- 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
- $26,302.68 / $34,673.69 / $61,659.50
| Facility | | $26,302.68 | $34,673.69 | $61,659.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $35,481.34 / $54,954.09
| Facility | | $17,782.79 | $35,481.34 | $54,954.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $32,359.37 / $47,863.01
| Facility | | $19,054.61 | $32,359.37 | $47,863.01 |