- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,841.20 / $41,143.40 / $53,718.60
| Facility | | $19,841.20 | $41,143.40 | $53,718.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $37,572.40 / $100,611.54
| Facility | | $5,840.42 | $37,572.40 | $100,611.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,247.42 / $38,440.11 / $58,083.46
| Facility | | $23,247.42 | $38,440.11 | $58,083.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54,588.91 / $54,588.91 / $54,588.91
| Facility | | $54,588.91 | $54,588.91 | $54,588.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,494.98 / $38,724.94 / $59,800.41
| Facility | | $33,494.98 | $38,724.94 | $59,800.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $37,572.40 / $100,611.54
| Facility | | $5,840.42 | $37,572.40 | $100,611.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $37,572.40 / $78,628.81
| Facility | | $5,840.42 | $37,572.40 | $78,628.81 |