- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,118.86 / $38,018.94 / $61,659.50
| Facility | | $25,118.86 | $38,018.94 | $61,659.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,882.50 / $26,915.35 / $45,708.82
| Facility | | $12,882.50 | $26,915.35 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,988.33 / $39,810.72 / $74,131.02
| Facility | | $23,988.33 | $39,810.72 | $74,131.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $95,499.26 / $95,499.26 / $95,499.26
| Facility | | $95,499.26 | $95,499.26 | $95,499.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,454.40 / $35,481.34 / $61,659.50
| Facility | | $14,454.40 | $35,481.34 | $61,659.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,442.29 / $33,113.11 / $79,432.82
| Facility | | $23,442.29 | $33,113.11 | $79,432.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,079.46 / $32,359.37 / $72,443.60
| Facility | | $7,079.46 | $32,359.37 | $72,443.60 |