- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,458.20 / $33,058.60 / $53,228.60
| Facility | | $14,458.20 | $33,058.60 | $53,228.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,417.21 / $24,417.21 / $24,417.21
| Facility | | $24,417.21 | $24,417.21 | $24,417.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $25,811.78 / $44,417.84
| Facility | | $1,474.01 | $25,811.78 | $44,417.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,930.18 / $34,564.90 / $48,965.34
| Facility | | $23,930.18 | $34,564.90 | $48,965.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,639.46 / $28,284.12 / $59,874.93
| Facility | | $19,639.46 | $28,284.12 | $59,874.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,917.61 / $35,230.08 / $61,669.83
| Facility | | $20,917.61 | $35,230.08 | $61,669.83 |