- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,418.10 / $34,880.69 / $56,162.40
| Facility | | $11,418.10 | $34,880.69 | $56,162.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,363.36 / $30,363.36 / $30,363.36
| Facility | | $30,363.36 | $30,363.36 | $30,363.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $22,479.15 / $48,995.94
| Facility | | $1,474.01 | $22,479.15 | $48,995.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,249.14 / $36,470.01 / $51,664.16
| Facility | | $25,249.14 | $36,470.01 | $51,664.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,070.52 / $30,588.41 / $64,239.43
| Facility | | $22,070.52 | $30,588.41 | $64,239.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,721.93 / $30,588.41 / $65,068.89
| Facility | | $20,721.93 | $30,588.41 | $65,068.89 |