- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $29,512.09 / $47,863.01
| Facility | | $19,498.45 | $29,512.09 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,120.11 / $19,498.45 / $33,884.42
| Facility | | $9,120.11 | $19,498.45 | $33,884.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,197.01 / $30,199.52 / $56,234.13
| Facility | | $18,197.01 | $30,199.52 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72,443.60 / $72,443.60 / $72,443.60
| Facility | | $72,443.60 | $72,443.60 | $72,443.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,220.18 / $27,542.29 / $47,863.01
| Facility | | $11,220.18 | $27,542.29 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,197.01 / $25,703.96 / $61,659.50
| Facility | | $18,197.01 | $25,703.96 | $61,659.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,079.46 / $24,547.09 / $56,234.13
| Facility | | $7,079.46 | $24,547.09 | $56,234.13 |