- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $31,622.78 / $53,703.18
| Facility | | $15,488.17 | $31,622.78 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $29,512.09 / $77,624.71
| Facility | | $6,165.95 | $29,512.09 | $77,624.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,197.01 / $30,199.52 / $45,708.82
| Facility | | $18,197.01 | $30,199.52 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,668.36 / $44,668.36 / $44,668.36
| Facility | | $44,668.36 | $44,668.36 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $29,512.09 / $77,624.71
| Facility | | $6,165.95 | $29,512.09 | $77,624.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $29,512.09 / $77,624.71
| Facility | | $6,165.95 | $29,512.09 | $77,624.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $23,442.29 / $67,608.30
| Facility | | $6,165.95 | $23,442.29 | $67,608.30 |