- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $32,359.37 / $52,480.75
| Facility | | $21,379.62 | $32,359.37 | $52,480.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,481.54 / $22,387.21 / $38,904.51
| Facility | | $11,481.54 | $22,387.21 | $38,904.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,952.62 / $37,153.52 / $63,095.73
| Facility | | $19,952.62 | $37,153.52 | $63,095.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $81,283.05 / $81,283.05 / $81,283.05
| Facility | | $81,283.05 | $81,283.05 | $81,283.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,302.69 / $30,199.52 / $52,480.75
| Facility | | $12,302.69 | $30,199.52 | $52,480.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,952.62 / $29,512.09 / $67,608.30
| Facility | | $19,952.62 | $29,512.09 | $67,608.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,079.46 / $26,915.35 / $61,659.50
| Facility | | $7,079.46 | $26,915.35 | $61,659.50 |