- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,748.98 / $31,622.78 / $60,255.96
| Facility | | $11,748.98 | $31,622.78 | $60,255.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,673.69 / $51,286.14 / $64,565.42
| Facility | | $34,673.69 | $51,286.14 | $64,565.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $37,153.52 / $52,480.75
| Facility | | $15,488.17 | $37,153.52 | $52,480.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $38,904.51 / $97,723.72
| Facility | | $21,379.62 | $38,904.51 | $97,723.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,454.40 / $14,454.40 / $14,791.08
| Facility | | $14,454.40 | $14,454.40 | $14,791.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,317.64 / $25,703.96 / $51,286.14
| Facility | | $8,317.64 | $25,703.96 | $51,286.14 |