- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,135.10 / $43,826.60 / $57,221.90
| Facility | | $21,135.10 | $43,826.60 | $57,221.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $40,022.71 / $107,172.99
| Facility | | $5,840.42 | $40,022.71 | $107,172.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,763.51 / $40,947.01 / $61,871.42
| Facility | | $24,763.51 | $40,947.01 | $61,871.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58,148.96 / $58,148.96 / $58,148.96
| Facility | | $58,148.96 | $58,148.96 | $58,148.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,679.37 / $41,250.42 / $63,700.34
| Facility | | $35,679.37 | $41,250.42 | $63,700.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $40,022.71 / $107,172.99
| Facility | | $5,840.42 | $40,022.71 | $107,172.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $40,022.71 / $83,756.64
| Facility | | $5,840.42 | $40,022.71 | $83,756.64 |