- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,471.29 / $26,302.68 / $50,118.72
| Facility | | $10,471.29 | $26,302.68 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,840.32 / $42,657.95 / $53,703.18
| Facility | | $28,840.32 | $42,657.95 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $30,902.95 / $43,651.58
| Facility | | $15,488.17 | $30,902.95 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,620.87 / $33,113.11 / $81,283.05
| Facility | | $18,620.87 | $33,113.11 | $81,283.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,022.64 / $12,022.64 / $12,882.50
| Facility | | $12,022.64 | $12,022.64 | $12,882.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,456.54 / $21,379.62 / $42,657.95
| Facility | | $6,456.54 | $21,379.62 | $42,657.95 |