- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,506.80 / $36,302.80 / $47,398.40
| Facility | | $17,506.80 | $36,302.80 | $47,398.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $33,151.87 / $88,774.21
| Facility | | $5,840.42 | $33,151.87 | $88,774.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,512.27 / $33,917.48 / $51,249.72
| Facility | | $20,512.27 | $33,917.48 | $51,249.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,166.32 / $48,166.32 / $48,166.32
| Facility | | $48,166.32 | $48,166.32 | $48,166.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,554.17 / $34,168.81 / $52,764.67
| Facility | | $29,554.17 | $34,168.81 | $52,764.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $33,151.87 / $88,774.21
| Facility | | $5,840.42 | $33,151.87 | $88,774.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $33,151.87 / $69,377.83
| Facility | | $5,840.42 | $33,151.87 | $69,377.83 |