- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,444.70 / $36,008.10 / $60,796.10
| Facility | | $16,444.70 | $36,008.10 | $60,796.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,284.14 / $56,811.03 / $73,666.42
| Facility | | $38,284.14 | $56,811.03 | $73,666.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,896.19 / $51,330.17 / $75,349.82
| Facility | | $35,896.19 | $51,330.17 | $75,349.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,414.49 / $50,756.09 / $106,437.12
| Facility | | $26,414.49 | $50,756.09 | $106,437.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,896.19 / $55,886.25 / $75,765.22
| Facility | | $35,896.19 | $55,886.25 | $75,765.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $46,052.28 / $70,294.67
| Facility | | $9,114.00 | $46,052.28 | $70,294.67 |