- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,593.30 / $36,482.19 / $47,632.60
| Facility | | $17,593.30 | $36,482.19 | $47,632.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $33,315.69 / $89,212.91
| Facility | | $5,840.42 | $33,315.69 | $89,212.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,613.64 / $34,085.10 / $51,502.99
| Facility | | $20,613.64 | $34,085.10 | $51,502.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,404.34 / $48,404.34 / $48,404.34
| Facility | | $48,404.34 | $48,404.34 | $48,404.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,700.22 / $34,337.66 / $53,025.42
| Facility | | $29,700.22 | $34,337.66 | $53,025.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $33,315.69 / $89,212.91
| Facility | | $5,840.42 | $33,315.69 | $89,212.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $33,315.69 / $69,720.67
| Facility | | $5,840.42 | $33,315.69 | $69,720.67 |