- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,370.70 / $43,164.60 / $66,642.30
| Facility | | $29,370.70 | $43,164.60 | $66,642.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,692.83 / $41,692.83 / $41,692.83
| Facility | | $41,692.83 | $41,692.83 | $41,692.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72,102.02 / $102,503.79 / $131,415.12
| Facility | | $72,102.02 | $102,503.79 | $131,415.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,055.65 / $57,512.08 / $76,565.48
| Facility | | $33,055.65 | $57,512.08 | $76,565.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,370.70 / $44,149.80 / $70,597.50
| Facility | | $29,370.70 | $44,149.80 | $70,597.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,348.67 / $58,736.64 / $89,238.04
| Facility | | $34,348.67 | $58,736.64 | $89,238.04 |