- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,884.42 / $50,118.72 / $64,565.42
| Facility | | $33,884.42 | $50,118.72 | $64,565.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,481.54 / $21,379.62 / $45,708.82
| Facility | | $11,481.54 | $21,379.62 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $24,547.09 / $45,708.82
| Facility | | $17,782.79 | $24,547.09 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $24,547.09 / $45,708.82
| Facility | | $17,782.79 | $24,547.09 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $30,902.95 / $50,118.72
| Facility | | $5,370.32 | $30,902.95 | $50,118.72 |