- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,183.83 / $41,686.94 / $67,608.30
| Facility | | $28,183.83 | $41,686.94 | $67,608.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,489.63 / $28,840.32 / $50,118.72
| Facility | | $13,489.63 | $28,840.32 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,703.96 / $43,651.58 / $81,283.05
| Facility | | $25,703.96 | $43,651.58 | $81,283.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $104,712.85 / $104,712.85 / $104,712.85
| Facility | | $104,712.85 | $104,712.85 | $104,712.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,218.10 / $39,810.72 / $67,608.30
| Facility | | $16,218.10 | $39,810.72 | $67,608.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,703.96 / $36,307.81 / $87,096.36
| Facility | | $25,703.96 | $36,307.81 | $87,096.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,079.46 / $35,481.34 / $79,432.82
| Facility | | $7,079.46 | $35,481.34 | $79,432.82 |