- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,158.30 / $34,659.40 / $55,806.10
| Facility | | $15,158.30 | $34,659.40 | $55,806.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $21,086.86 / $43,489.95
| Facility | | $1,474.01 | $21,086.86 | $43,489.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,088.95 / $36,238.64 / $51,336.39
| Facility | | $25,088.95 | $36,238.64 | $51,336.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,590.46 / $29,653.72 / $63,831.87
| Facility | | $20,590.46 | $29,653.72 | $63,831.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,534.00 / $30,394.34 / $64,656.06
| Facility | | $19,534.00 | $30,394.34 | $64,656.06 |