- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,676.40 / $32,507.30 / $42,442.80
| Facility | | $15,676.40 | $32,507.30 | $42,442.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $29,685.81 / $79,492.80
| Facility | | $5,840.42 | $29,685.81 | $79,492.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,367.70 / $30,371.39 / $45,891.53
| Facility | | $18,367.70 | $30,371.39 | $45,891.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,130.49 / $43,130.49 / $43,130.49
| Facility | | $43,130.49 | $43,130.49 | $43,130.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,464.26 / $30,596.44 / $47,248.08
| Facility | | $26,464.26 | $30,596.44 | $47,248.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $29,685.81 / $79,492.80
| Facility | | $5,840.42 | $29,685.81 | $79,492.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $29,685.81 / $62,124.33
| Facility | | $5,840.42 | $29,685.81 | $62,124.33 |