- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,220.18 / $28,840.32 / $54,954.09
| Facility | | $11,220.18 | $28,840.32 | $54,954.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,902.95 / $45,708.82 / $57,543.99
| Facility | | $30,902.95 | $45,708.82 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $33,884.42 / $46,773.51
| Facility | | $15,488.17 | $33,884.42 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $34,673.69 / $87,096.36
| Facility | | $19,498.45 | $34,673.69 | $87,096.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,022.64 / $12,022.64 / $12,022.64
| Facility | | $12,022.64 | $12,022.64 | $12,022.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,317.64 / $22,908.68 / $46,773.51
| Facility | | $8,317.64 | $22,908.68 | $46,773.51 |