- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,831.20 / $34,901.90 / $45,569.30
| Facility | | $16,831.20 | $34,901.90 | $45,569.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $31,872.58 / $85,348.52
| Facility | | $5,840.42 | $31,872.58 | $85,348.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,720.73 / $32,608.65 / $49,272.06
| Facility | | $19,720.73 | $32,608.65 | $49,272.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,307.64 / $46,307.64 / $46,307.64
| Facility | | $46,307.64 | $46,307.64 | $46,307.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,413.71 / $32,850.28 / $50,728.54
| Facility | | $28,413.71 | $32,850.28 | $50,728.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $31,872.58 / $85,348.52
| Facility | | $5,840.42 | $31,872.58 | $85,348.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $31,872.58 / $66,700.62
| Facility | | $5,840.42 | $31,872.58 | $66,700.62 |