- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,113.50 / $44,574.80 / $72,452.70
| Facility | | $26,113.50 | $44,574.80 | $72,452.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,566.00 / $34,524.31 / $41,620.72
| Facility | | $11,566.00 | $34,524.31 | $41,620.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,392.19 / $35,416.87 / $55,873.54
| Facility | | $22,392.19 | $35,416.87 | $55,873.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,530.02 / $27,529.35 / $56,350.47
| Facility | | $12,530.02 | $27,529.35 | $56,350.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,842.00 / $36,990.96 / $50,881.81
| Facility | | $6,842.00 | $36,990.96 | $50,881.81 |