- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,509.40 / $38,214.60 / $61,530.40
| Facility | | $12,509.40 | $38,214.60 | $61,530.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $26,312.92 / $58,995.71
| Facility | | $1,474.01 | $26,312.92 | $58,995.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,662.44 / $39,955.81 / $62,162.00
| Facility | | $27,662.44 | $39,955.81 | $62,162.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,180.01 / $33,512.04 / $88,754.00
| Facility | | $24,180.01 | $33,512.04 | $88,754.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,702.52 / $40,886.78 / $72,492.38
| Facility | | $22,702.52 | $40,886.78 | $72,492.38 |