- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,388.80 / $45,279.60 / $79,737.39
| Facility | | $28,388.80 | $45,279.60 | $79,737.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,815.40 / $37,556.91 / $54,596.99
| Facility | | $12,815.40 | $37,556.91 | $54,596.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,250.08 / $35,207.28 / $58,980.42
| Facility | | $26,250.08 | $35,207.28 | $58,980.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,639.84 / $29,719.80 / $35,233.67
| Facility | | $19,639.84 | $29,719.80 | $35,233.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,270.14 / $33,799.07 / $51,095.16
| Facility | | $10,270.14 | $33,799.07 | $51,095.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,817.92 / $36,320.25 / $49,331.40
| Facility | | $25,817.92 | $36,320.25 | $49,331.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,026.16 / $40,981.93 / $57,479.63
| Facility | | $15,026.16 | $40,981.93 | $57,479.63 |