- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,999.20 / $33,176.50 / $43,316.60
| Facility | | $15,999.20 | $33,176.50 | $43,316.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $29,905.66 / $81,129.35
| Facility | | $5,840.42 | $29,905.66 | $81,129.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,745.84 / $30,996.65 / $46,836.31
| Facility | | $18,745.84 | $30,996.65 | $46,836.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,018.44 / $44,018.44 / $44,018.44
| Facility | | $44,018.44 | $44,018.44 | $44,018.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,009.09 / $31,226.34 / $48,220.80
| Facility | | $27,009.09 | $31,226.34 | $48,220.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $29,905.66 / $81,129.35
| Facility | | $5,840.42 | $29,905.66 | $81,129.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $23,561.71 / $63,403.31
| Facility | | $5,840.42 | $23,561.71 | $63,403.31 |