- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,354.40 / $37,394.30 / $60,209.70
| Facility | | $16,354.40 | $37,394.30 | $60,209.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,003.73 / $34,003.73 / $44,990.91
| Facility | | $34,003.73 | $34,003.73 | $44,990.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $19,552.05 / $50,196.11
| Facility | | $1,474.01 | $19,552.05 | $50,196.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,068.70 / $39,098.19 / $55,387.29
| Facility | | $27,068.70 | $39,098.19 | $55,387.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,661.01 / $40,009.19 / $68,868.78
| Facility | | $23,661.01 | $40,009.19 | $68,868.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,661.01 / $40,009.19 / $59,121.44
| Facility | | $23,661.01 | $40,009.19 | $59,121.44 |