- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,383.59 / $42,268.20 / $55,187.10
| Facility | | $20,383.59 | $42,268.20 | $55,187.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $38,100.99 / $103,362.01
| Facility | | $5,840.42 | $38,100.99 | $103,362.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,882.94 / $39,490.96 / $59,671.32
| Facility | | $23,882.94 | $39,490.96 | $59,671.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56,081.23 / $56,081.23 / $56,081.23
| Facility | | $56,081.23 | $56,081.23 | $56,081.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,410.65 / $39,783.58 / $61,435.20
| Facility | | $34,410.65 | $39,783.58 | $61,435.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $38,100.99 / $103,362.01
| Facility | | $5,840.42 | $38,100.99 | $103,362.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $30,018.55 / $80,778.32
| Facility | | $5,840.42 | $30,018.55 | $80,778.32 |