- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,332.54 / $20,417.38 / $42,657.95
| Facility | | $9,332.54 | $20,417.38 | $42,657.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $36,307.81 / $44,668.36
| Facility | | $24,547.09 | $36,307.81 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $26,302.68 / $36,307.81
| Facility | | $15,488.17 | $26,302.68 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,135.61 / $26,915.35 / $69,183.10
| Facility | | $15,135.61 | $26,915.35 | $69,183.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,964.78 / $10,964.78 / $10,964.78
| Facility | | $10,964.78 | $10,964.78 | $10,964.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,760.83 / $18,620.87 / $36,307.81
| Facility | | $6,760.83 | $18,620.87 | $36,307.81 |