- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,941.20 / $41,350.90 / $53,989.50
| Facility | | $19,941.20 | $41,350.90 | $53,989.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $37,761.87 / $101,118.90
| Facility | | $5,840.42 | $37,761.87 | $101,118.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,364.65 / $38,633.94 / $58,376.37
| Facility | | $23,364.65 | $38,633.94 | $58,376.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54,864.19 / $54,864.19 / $54,864.19
| Facility | | $54,864.19 | $54,864.19 | $54,864.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,663.89 / $38,920.23 / $60,101.97
| Facility | | $33,663.89 | $38,920.23 | $60,101.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $37,761.87 / $101,118.90
| Facility | | $5,840.42 | $37,761.87 | $101,118.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $37,761.87 / $79,025.32
| Facility | | $5,840.42 | $37,761.87 | $79,025.32 |