- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $39,810.72 / $67,608.30
| Facility | | $19,498.45 | $39,810.72 | $67,608.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $37,153.52 / $97,723.72
| Facility | | $6,165.95 | $37,153.52 | $97,723.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,387.21 / $38,018.94 / $57,543.99
| Facility | | $22,387.21 | $38,018.94 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56,234.13 / $56,234.13 / $56,234.13
| Facility | | $56,234.13 | $56,234.13 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $36,307.81 / $97,723.72
| Facility | | $6,165.95 | $36,307.81 | $97,723.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $37,153.52 / $97,723.72
| Facility | | $6,165.95 | $37,153.52 | $97,723.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $30,199.52 / $85,113.80
| Facility | | $6,165.95 | $30,199.52 | $85,113.80 |