- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,972.90 / $26,216.40 / $44,263.80
| Facility | | $11,972.90 | $26,216.40 | $44,263.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,174.05 / $42,755.46 / $55,440.67
| Facility | | $29,174.05 | $42,755.46 | $55,440.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,134.91 / $37,371.90 / $54,859.86
| Facility | | $26,134.91 | $37,371.90 | $54,859.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,231.57 / $36,953.93 / $77,493.55
| Facility | | $19,231.57 | $36,953.93 | $77,493.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,134.91 / $40,689.04 / $55,162.30
| Facility | | $26,134.91 | $40,689.04 | $55,162.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,571.65 / $34,412.49 / $51,733.09
| Facility | | $7,571.65 | $34,412.49 | $51,733.09 |