- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,481.34 / $51,286.14 / $66,069.34
| Facility | | $35,481.34 | $51,286.14 | $66,069.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,481.54 / $21,877.62 / $46,773.51
| Facility | | $11,481.54 | $21,877.62 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,197.01 / $25,118.86 / $46,773.51
| Facility | | $18,197.01 | $25,118.86 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,197.01 / $25,118.86 / $46,773.51
| Facility | | $18,197.01 | $25,118.86 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $32,359.37 / $51,286.14
| Facility | | $5,370.32 | $32,359.37 | $51,286.14 |