- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,104.50 / $33,394.90 / $43,601.80
| Facility | | $16,104.50 | $33,394.90 | $43,601.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $30,496.41 / $81,663.42
| Facility | | $5,840.42 | $30,496.41 | $81,663.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,869.24 / $31,200.70 / $47,144.64
| Facility | | $18,869.24 | $31,200.70 | $47,144.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,308.21 / $44,308.21 / $44,308.21
| Facility | | $44,308.21 | $44,308.21 | $44,308.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,186.89 / $31,431.90 / $48,538.23
| Facility | | $27,186.89 | $31,431.90 | $48,538.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $30,496.41 / $81,663.42
| Facility | | $5,840.42 | $30,496.41 | $81,663.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $30,496.41 / $63,820.69
| Facility | | $5,840.42 | $30,496.41 | $63,820.69 |