- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,282.60 / $33,351.10 / $57,339.90
| Facility | | $13,282.60 | $33,351.10 | $57,339.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,075.85 / $53,534.08 / $69,417.22
| Facility | | $36,075.85 | $53,534.08 | $69,417.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,247.44 / $47,542.56 / $69,789.82
| Facility | | $33,247.44 | $47,542.56 | $69,789.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,465.39 / $47,010.84 / $98,583.21
| Facility | | $24,465.39 | $47,010.84 | $98,583.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,247.44 / $51,762.46 / $70,174.57
| Facility | | $33,247.44 | $51,762.46 | $70,174.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $43,777.75 / $65,812.11
| Facility | | $9,114.00 | $43,777.75 | $65,812.11 |