- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $38,018.94 / $72,443.60
| Facility | | $24,547.09 | $38,018.94 | $72,443.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,218.10 / $17,378.01 / $43,651.58
| Facility | | $16,218.10 | $17,378.01 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $32,359.37 / $52,480.75
| Facility | | $21,379.62 | $32,359.37 | $52,480.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,232.93 / $24,547.09 / $52,480.75
| Facility | | $10,232.93 | $24,547.09 | $52,480.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,606.93 / $33,884.42 / $47,863.01
| Facility | | $6,606.93 | $33,884.42 | $47,863.01 |