- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,964.78 / $28,840.32 / $53,703.18
| Facility | | $10,964.78 | $28,840.32 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,902.95 / $45,708.82 / $69,183.10
| Facility | | $30,902.95 | $45,708.82 | $69,183.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $38,904.51 / $50,118.72
| Facility | | $24,547.09 | $38,904.51 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $33,884.42 / $87,096.36
| Facility | | $19,054.61 | $33,884.42 | $87,096.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,332.54 / $30,199.52 / $47,863.01
| Facility | | $9,332.54 | $30,199.52 | $47,863.01 |