- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,022.64 / $21,877.62 / $66,069.34
| Facility | | $12,022.64 | $21,877.62 | $66,069.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,773.51 / $46,773.51 / $50,118.72
| Facility | | $46,773.51 | $46,773.51 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,073.80 / $4,073.80 / $21,877.62
| Facility | | $4,073.80 | $4,073.80 | $21,877.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,471.29 / $18,197.01 / $31,622.78
| Facility | | $10,471.29 | $18,197.01 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,773.51 / $46,773.51 / $50,118.72
| Facility | | $46,773.51 | $46,773.51 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,801.89 / $3,801.89 / $3,801.89
| Facility | | $3,801.89 | $3,801.89 | $3,801.89 |