- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,031.70 / $31,170.40 / $40,697.30
| Facility | | $15,031.70 | $31,170.40 | $40,697.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $28,464.93 / $76,223.52
| Facility | | $5,840.42 | $28,464.93 | $76,223.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,612.29 / $29,122.31 / $44,004.16
| Facility | | $17,612.29 | $29,122.31 | $44,004.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,356.67 / $41,356.67 / $41,356.67
| Facility | | $41,356.67 | $41,356.67 | $41,356.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,375.87 / $29,338.10 / $45,304.92
| Facility | | $25,375.87 | $29,338.10 | $45,304.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $28,464.93 / $76,223.52
| Facility | | $5,840.42 | $28,464.93 | $76,223.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $28,464.93 / $59,569.36
| Facility | | $5,840.42 | $28,464.93 | $59,569.36 |