- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,610.00 / $34,443.19 / $44,970.50
| Facility | | $16,610.00 | $34,443.19 | $44,970.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $31,047.49 / $84,226.97
| Facility | | $5,840.42 | $31,047.49 | $84,226.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,461.58 / $32,180.14 / $48,624.58
| Facility | | $19,461.58 | $32,180.14 | $48,624.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,699.11 / $45,699.11 / $45,699.11
| Facility | | $45,699.11 | $45,699.11 | $45,699.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,040.33 / $32,418.60 / $50,061.92
| Facility | | $28,040.33 | $32,418.60 | $50,061.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $31,047.49 / $84,226.97
| Facility | | $5,840.42 | $31,047.49 | $84,226.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $24,461.32 / $65,824.12
| Facility | | $5,840.42 | $24,461.32 | $65,824.12 |