- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,254.40 / $31,632.10 / $41,300.19
| Facility | | $15,254.40 | $31,632.10 | $41,300.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $28,886.61 / $77,352.70
| Facility | | $5,840.42 | $28,886.61 | $77,352.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,873.20 / $29,553.73 / $44,656.04
| Facility | | $17,873.20 | $29,553.73 | $44,656.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,969.33 / $41,969.33 / $41,969.33
| Facility | | $41,969.33 | $41,969.33 | $41,969.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,751.79 / $29,772.72 / $45,976.07
| Facility | | $25,751.79 | $29,772.72 | $45,976.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $28,886.61 / $77,352.70
| Facility | | $5,840.42 | $28,886.61 | $77,352.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $28,886.61 / $60,451.82
| Facility | | $5,840.42 | $28,886.61 | $60,451.82 |