- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,911.20 / $29,396.40 / $47,331.90
| Facility | | $10,911.20 | $29,396.40 | $47,331.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,498.91 / $25,498.91 / $25,602.29
| Facility | | $25,498.91 | $25,498.91 | $25,602.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $19,620.13 / $42,378.08
| Facility | | $1,474.01 | $19,620.13 | $42,378.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,279.21 / $30,735.82 / $43,540.98
| Facility | | $21,279.21 | $30,735.82 | $43,540.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,600.36 / $25,778.98 / $53,242.01
| Facility | | $18,600.36 | $25,778.98 | $53,242.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,463.81 / $25,778.98 / $54,838.07
| Facility | | $17,463.81 | $25,778.98 | $54,838.07 |