- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,772.70 / $49,296.00 / $64,362.90
| Facility | | $23,772.70 | $49,296.00 | $64,362.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $45,017.36 / $120,547.68
| Facility | | $5,840.42 | $45,017.36 | $120,547.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,853.88 / $46,057.00 / $69,592.67
| Facility | | $27,853.88 | $46,057.00 | $69,592.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $65,405.68 / $65,405.68 / $65,405.68
| Facility | | $65,405.68 | $65,405.68 | $65,405.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,132.00 / $46,398.28 / $71,649.84
| Facility | | $40,132.00 | $46,398.28 | $71,649.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $45,017.36 / $120,547.68
| Facility | | $5,840.42 | $45,017.36 | $120,547.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $45,017.36 / $94,209.08
| Facility | | $5,840.42 | $45,017.36 | $94,209.08 |