- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,218.10 / $24,547.09 / $39,810.72
| Facility | | $16,218.10 | $24,547.09 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,317.64 / $17,378.01 / $30,199.52
| Facility | | $8,317.64 | $17,378.01 | $30,199.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $27,542.29 / $47,863.01
| Facility | | $15,488.17 | $27,542.29 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61,659.50 / $61,659.50 / $61,659.50
| Facility | | $61,659.50 | $61,659.50 | $61,659.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,332.54 / $22,908.68 / $39,810.72
| Facility | | $9,332.54 | $22,908.68 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,135.61 / $22,908.68 / $51,286.14
| Facility | | $15,135.61 | $22,908.68 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,606.93 / $20,892.96 / $46,773.51
| Facility | | $6,606.93 | $20,892.96 | $46,773.51 |