- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,125.90 / $45,881.20 / $59,904.30
| Facility | | $22,125.90 | $45,881.20 | $59,904.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $41,898.91 / $112,197.08
| Facility | | $5,840.42 | $41,898.91 | $112,197.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,924.38 / $42,866.53 / $64,771.85
| Facility | | $25,924.38 | $42,866.53 | $64,771.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60,874.89 / $60,874.89 / $60,874.89
| Facility | | $60,874.89 | $60,874.89 | $60,874.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,351.97 / $43,184.17 / $66,686.50
| Facility | | $37,351.97 | $43,184.17 | $66,686.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $41,898.91 / $112,197.08
| Facility | | $5,840.42 | $41,898.91 | $112,197.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $41,898.91 / $87,683.01
| Facility | | $5,840.42 | $41,898.91 | $87,683.01 |