- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,542.29 / $41,686.94 / $67,608.30
| Facility | | $27,542.29 | $41,686.94 | $67,608.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,884.03 / $35,481.34 / $43,651.58
| Facility | | $2,884.03 | $35,481.34 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,454.40 / $28,840.32 / $50,118.72
| Facility | | $14,454.40 | $28,840.32 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,703.96 / $41,686.94 / $77,624.71
| Facility | | $25,703.96 | $41,686.94 | $77,624.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $104,712.85 / $104,712.85 / $104,712.85
| Facility | | $104,712.85 | $104,712.85 | $104,712.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,848.93 / $38,904.51 / $67,608.30
| Facility | | $15,848.93 | $38,904.51 | $67,608.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,703.96 / $36,307.81 / $87,096.36
| Facility | | $25,703.96 | $36,307.81 | $87,096.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,079.46 / $34,673.69 / $79,432.82
| Facility | | $7,079.46 | $34,673.69 | $79,432.82 |