- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,044.09 / $35,343.40 / $46,145.70
| Facility | | $17,044.09 | $35,343.40 | $46,145.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $32,275.74 / $86,428.11
| Facility | | $5,840.42 | $32,275.74 | $86,428.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,970.18 / $33,021.12 / $49,895.31
| Facility | | $19,970.18 | $33,021.12 | $49,895.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,893.39 / $46,893.39 / $46,893.39
| Facility | | $46,893.39 | $46,893.39 | $46,893.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,773.12 / $33,265.80 / $51,370.21
| Facility | | $28,773.12 | $33,265.80 | $51,370.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $32,275.74 / $86,428.11
| Facility | | $5,840.42 | $32,275.74 | $86,428.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $32,275.74 / $67,544.33
| Facility | | $5,840.42 | $32,275.74 | $67,544.33 |