- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,703.50 / $32,563.40 / $42,516.20
| Facility | | $15,703.50 | $32,563.40 | $42,516.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $29,353.02 / $79,630.14
| Facility | | $5,840.42 | $29,353.02 | $79,630.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,399.43 / $30,423.86 / $46,553.19
| Facility | | $18,399.43 | $30,423.86 | $46,553.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,205.01 / $43,205.01 / $43,205.01
| Facility | | $43,205.01 | $43,205.01 | $43,205.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,509.98 / $30,649.29 / $47,329.71
| Facility | | $26,509.98 | $30,649.29 | $47,329.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $29,353.02 / $79,630.14
| Facility | | $5,840.42 | $29,353.02 | $79,630.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $23,126.30 / $62,231.66
| Facility | | $5,840.42 | $23,126.30 | $62,231.66 |