- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $47,863.01 / $93,325.43
| Facility | | $15,488.17 | $47,863.01 | $93,325.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,977.88 / $70,794.58 / $91,201.08
| Facility | | $48,977.88 | $70,794.58 | $91,201.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $53,703.18 / $74,131.02
| Facility | | $15,488.17 | $53,703.18 | $74,131.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,183.83 / $54,954.09 / $138,038.43
| Facility | | $28,183.83 | $54,954.09 | $138,038.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,982.44 / $20,417.38 / $21,379.62
| Facility | | $16,982.44 | $20,417.38 | $21,379.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,317.64 / $36,307.81 / $74,131.02
| Facility | | $8,317.64 | $36,307.81 | $74,131.02 |