- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,803.84 / $28,840.32 / $47,863.01
| Facility | | $13,803.84 | $28,840.32 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $26,302.68 / $70,794.58
| Facility | | $6,165.95 | $26,302.68 | $70,794.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,218.10 / $27,542.29 / $40,738.03
| Facility | | $16,218.10 | $27,542.29 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,810.72 / $39,810.72 / $39,810.72
| Facility | | $39,810.72 | $39,810.72 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $26,302.68 / $70,794.58
| Facility | | $6,165.95 | $26,302.68 | $70,794.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $26,302.68 / $70,794.58
| Facility | | $6,165.95 | $26,302.68 | $70,794.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $21,379.62 / $60,255.96
| Facility | | $6,165.95 | $21,379.62 | $60,255.96 |