- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,964.78 / $28,183.83 / $53,703.18
| Facility | | $10,964.78 | $28,183.83 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,199.52 / $45,708.82 / $56,234.13
| Facility | | $30,199.52 | $45,708.82 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $33,113.11 / $45,708.82
| Facility | | $15,488.17 | $33,113.11 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $33,884.42 / $85,113.80
| Facility | | $19,054.61 | $33,884.42 | $85,113.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,220.18 / $12,589.25 / $15,488.17
| Facility | | $11,220.18 | $12,589.25 | $15,488.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,317.64 / $22,387.21 / $45,708.82
| Facility | | $8,317.64 | $22,387.21 | $45,708.82 |