- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $40,738.03 / $77,624.71
| Facility | | $22,908.68 | $40,738.03 | $77,624.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,118.86 / $25,118.86 / $25,118.86
| Facility | | $25,118.86 | $25,118.86 | $25,118.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,118.86 / $43,651.58 / $74,131.02
| Facility | | $25,118.86 | $43,651.58 | $74,131.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $40,738.03 / $64,565.42
| Facility | | $100.00 | $40,738.03 | $64,565.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,118.86 / $36,307.81 / $63,095.73
| Facility | | $25,118.86 | $36,307.81 | $63,095.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63,095.73 / $63,095.73 / $63,095.73
| Facility | | $63,095.73 | $63,095.73 | $63,095.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,118.86 / $40,738.03 / $74,131.02
| Facility | | $25,118.86 | $40,738.03 | $74,131.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,754.40 / $34,673.69 / $70,794.58
| Facility | | $5,754.40 | $34,673.69 | $70,794.58 |