- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $38,904.51 / $63,095.73
| Facility | | $15,488.17 | $38,904.51 | $63,095.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,915.35 / $26,915.35 / $26,915.35
| Facility | | $26,915.35 | $26,915.35 | $26,915.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,964.78 / $29,512.09 / $48,977.88
| Facility | | $10,964.78 | $29,512.09 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,302.68 / $35,481.34 / $60,255.96
| Facility | | $26,302.68 | $35,481.34 | $60,255.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,359.37 / $39,810.72 / $58,884.37
| Facility | | $32,359.37 | $39,810.72 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,417.38 / $38,904.51 / $57,543.99
| Facility | | $20,417.38 | $38,904.51 | $57,543.99 |