- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $33,113.11 / $63,095.73
| Facility | | $19,498.45 | $33,113.11 | $63,095.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,952.62 / $35,481.34 / $67,608.30
| Facility | | $19,952.62 | $35,481.34 | $67,608.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $26,302.68 / $51,286.14
| Facility | | $100.00 | $26,302.68 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $32,359.37 / $57,543.99
| Facility | | $19,498.45 | $32,359.37 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57,543.99 / $57,543.99 / $57,543.99
| Facility | | $57,543.99 | $57,543.99 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $32,359.37 / $64,565.42
| Facility | | $19,498.45 | $32,359.37 | $64,565.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,585.78 / $29,512.09 / $54,954.09
| Facility | | $7,585.78 | $29,512.09 | $54,954.09 |