- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,332.54 / $14,454.40 / $39,810.72
| Facility | | $9,332.54 | $14,454.40 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,090.30 / $13,182.57 / $26,915.35
| Facility | | $3,090.30 | $13,182.57 | $26,915.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $27,542.29 / $42,657.95
| Facility | | $19,054.61 | $27,542.29 | $42,657.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,589.25 / $19,498.45 / $26,302.68
| Facility | | $12,589.25 | $19,498.45 | $26,302.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57,543.99 / $57,543.99 / $57,543.99
| Facility | | $57,543.99 | $57,543.99 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,801.89 / $18,620.87 / $30,199.52
| Facility | | $3,801.89 | $18,620.87 | $30,199.52 |