- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,480.80 / $48,690.70 / $63,572.60
| Facility | | $23,480.80 | $48,690.70 | $63,572.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $44,464.62 / $119,067.54
| Facility | | $5,840.42 | $44,464.62 | $119,067.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,511.88 / $45,491.49 / $68,738.19
| Facility | | $27,511.88 | $45,491.49 | $68,738.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64,602.60 / $64,602.60 / $64,602.60
| Facility | | $64,602.60 | $64,602.60 | $64,602.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,639.24 / $45,828.58 / $70,770.09
| Facility | | $39,639.24 | $45,828.58 | $70,770.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $44,464.62 / $119,067.54
| Facility | | $5,840.42 | $44,464.62 | $119,067.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $44,464.62 / $93,052.34
| Facility | | $5,840.42 | $44,464.62 | $93,052.34 |