- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,599.50 / $31,967.70 / $53,974.30
| Facility | | $14,599.50 | $31,967.70 | $53,974.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,161.00 / $26,513.00 / $59,088.26
| Facility | | $1,161.00 | $26,513.00 | $59,088.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,868.37 / $45,570.52 / $66,894.97
| Facility | | $31,868.37 | $45,570.52 | $66,894.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,450.58 / $45,060.85 / $94,494.03
| Facility | | $23,450.58 | $45,060.85 | $94,494.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,320.92 / $16,320.92 / $16,320.92
| Facility | | $16,320.92 | $16,320.92 | $16,320.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,868.37 / $49,615.38 / $67,263.77
| Facility | | $31,868.37 | $49,615.38 | $67,263.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,950.04 / $40,884.85 / $63,082.26
| Facility | | $8,950.04 | $40,884.85 | $63,082.26 |