- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,296.50 / $28,343.70 / $43,806.60
| Facility | | $12,296.50 | $28,343.70 | $43,806.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,289.49 / $37,592.94 / $55,184.34
| Facility | | $26,289.49 | $37,592.94 | $55,184.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,345.32 / $37,172.50 / $77,951.91
| Facility | | $19,345.32 | $37,172.50 | $77,951.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,028.93 / $14,028.93 / $14,028.93
| Facility | | $14,028.93 | $14,028.93 | $14,028.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,289.49 / $40,929.71 / $55,488.58
| Facility | | $26,289.49 | $40,929.71 | $55,488.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,616.44 / $31,569.16 / $52,039.08
| Facility | | $7,616.44 | $31,569.16 | $52,039.08 |