- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,793.70 / $29,582.50 / $50,860.60
| Facility | | $12,793.70 | $29,582.50 | $50,860.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,828.98 / $48,643.06 / $63,075.08
| Facility | | $32,828.98 | $48,643.06 | $63,075.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,490.57 / $42,170.37 / $61,903.74
| Facility | | $29,490.57 | $42,170.37 | $61,903.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,700.86 / $41,698.73 / $87,443.55
| Facility | | $21,700.86 | $41,698.73 | $87,443.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,490.57 / $45,913.42 / $62,245.01
| Facility | | $29,490.57 | $45,913.42 | $62,245.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,543.83 / $37,834.31 / $58,375.50
| Facility | | $8,543.83 | $37,834.31 | $58,375.50 |