- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,214.00 / $26,744.30 / $45,155.10
| Facility | | $12,214.00 | $26,744.30 | $45,155.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,880.00 / $44,088.07 / $57,168.65
| Facility | | $29,880.00 | $44,088.07 | $57,168.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,661.18 / $38,124.46 / $55,964.57
| Facility | | $26,661.18 | $38,124.46 | $55,964.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,618.84 / $37,698.07 / $79,054.03
| Facility | | $19,618.84 | $37,698.07 | $79,054.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,829.62 / $14,829.62 / $14,829.62
| Facility | | $14,829.62 | $14,829.62 | $14,829.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,661.18 / $41,508.40 / $56,273.10
| Facility | | $26,661.18 | $41,508.40 | $56,273.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,724.12 / $35,105.44 / $52,774.84
| Facility | | $7,724.12 | $35,105.44 | $52,774.84 |