- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,855.10 / $28,730.50 / $37,511.69
| Facility | | $13,855.10 | $28,730.50 | $37,511.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $25,897.99 / $70,257.17
| Facility | | $5,840.42 | $25,897.99 | $70,257.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,233.70 / $26,842.78 / $40,559.76
| Facility | | $16,233.70 | $26,842.78 | $40,559.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,119.51 / $38,119.51 / $38,119.51
| Facility | | $38,119.51 | $38,119.51 | $38,119.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,389.59 / $27,041.68 / $41,758.71
| Facility | | $23,389.59 | $27,041.68 | $41,758.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $25,897.99 / $70,257.17
| Facility | | $5,840.42 | $25,897.99 | $70,257.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $20,404.18 / $54,906.60
| Facility | | $5,840.42 | $20,404.18 | $54,906.60 |