- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,612.50 / $32,374.70 / $42,269.70
| Facility | | $15,612.50 | $32,374.70 | $42,269.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $29,182.87 / $79,168.53
| Facility | | $5,840.42 | $29,182.87 | $79,168.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,675.91 / $28,744.98 / $41,937.66
| Facility | | $19,675.91 | $28,744.98 | $41,937.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,954.56 / $42,954.56 / $42,954.56
| Facility | | $42,954.56 | $42,954.56 | $42,954.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,356.31 / $30,471.63 / $47,055.35
| Facility | | $26,356.31 | $30,471.63 | $47,055.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $29,182.87 / $79,168.53
| Facility | | $5,840.42 | $29,182.87 | $79,168.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $22,992.25 / $61,870.92
| Facility | | $5,840.42 | $22,992.25 | $61,870.92 |