- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,877.62 / $45,708.82 / $75,857.76
| Facility | | $21,877.62 | $45,708.82 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $42,657.95 / $112,201.85
| Facility | | $6,165.95 | $42,657.95 | $112,201.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,703.96 / $43,651.58 / $64,565.42
| Facility | | $25,703.96 | $43,651.58 | $64,565.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63,095.73 / $63,095.73 / $63,095.73
| Facility | | $63,095.73 | $63,095.73 | $63,095.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $41,686.94 / $112,201.85
| Facility | | $6,165.95 | $41,686.94 | $112,201.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $42,657.95 / $112,201.85
| Facility | | $6,165.95 | $42,657.95 | $112,201.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $33,884.42 / $97,723.72
| Facility | | $6,165.95 | $33,884.42 | $97,723.72 |