- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,199.52 / $54,954.09 / $67,608.30
| Facility | | $30,199.52 | $54,954.09 | $67,608.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $32,359.37 / $54,954.09
| Facility | | $17,782.79 | $32,359.37 | $54,954.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,703.96 / $46,773.51 / $93,325.43
| Facility | | $25,703.96 | $46,773.51 | $93,325.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $102,329.30 / $102,329.30 / $102,329.30
| Facility | | $102,329.30 | $102,329.30 | $102,329.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,848.93 / $40,738.03 / $67,608.30
| Facility | | $15,848.93 | $40,738.03 | $67,608.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,703.96 / $38,904.51 / $93,325.43
| Facility | | $25,703.96 | $38,904.51 | $93,325.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,803.84 / $33,113.11 / $72,443.60
| Facility | | $13,803.84 | $33,113.11 | $72,443.60 |