- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,720.20 / $47,113.60 / $61,513.40
| Facility | | $22,720.20 | $47,113.60 | $61,513.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $43,024.34 / $115,210.77
| Facility | | $5,840.42 | $43,024.34 | $115,210.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,620.73 / $44,017.96 / $66,511.66
| Facility | | $26,620.73 | $44,017.96 | $66,511.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $62,510.03 / $62,510.03 / $62,510.03
| Facility | | $62,510.03 | $62,510.03 | $62,510.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,355.26 / $44,344.13 / $68,477.75
| Facility | | $38,355.26 | $44,344.13 | $68,477.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $43,024.34 / $115,210.77
| Facility | | $5,840.42 | $43,024.34 | $115,210.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $43,024.34 / $90,038.24
| Facility | | $5,840.42 | $43,024.34 | $90,038.24 |