- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,559.30 / $30,190.70 / $39,418.19
| Facility | | $14,559.30 | $30,190.70 | $39,418.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $27,214.19 / $73,827.82
| Facility | | $5,840.42 | $27,214.19 | $73,827.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,058.74 / $28,207.00 / $42,621.11
| Facility | | $17,058.74 | $28,207.00 | $42,621.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,056.83 / $40,056.83 / $40,056.83
| Facility | | $40,056.83 | $40,056.83 | $40,056.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,578.31 / $28,416.01 / $43,880.99
| Facility | | $24,578.31 | $28,416.01 | $43,880.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $27,214.19 / $73,827.82
| Facility | | $5,840.42 | $27,214.19 | $73,827.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $21,441.19 / $57,697.10
| Facility | | $5,840.42 | $21,441.19 | $57,697.10 |