- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,772.37 / $25,703.96 / $47,863.01
| Facility | | $9,772.37 | $25,703.96 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,542.29 / $40,738.03 / $50,118.72
| Facility | | $27,542.29 | $40,738.03 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,877.62 / $34,673.69 / $44,668.36
| Facility | | $21,877.62 | $34,673.69 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,982.44 / $30,902.95 / $77,624.71
| Facility | | $16,982.44 | $30,902.95 | $77,624.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,511.38 / $26,915.35 / $42,657.95
| Facility | | $8,511.38 | $26,915.35 | $42,657.95 |