- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,847.80 / $23,752.80 / $40,104.19
| Facility | | $10,847.80 | $23,752.80 | $40,104.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,518.85 / $39,352.14 / $51,027.61
| Facility | | $26,518.85 | $39,352.14 | $51,027.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,678.95 / $33,859.98 / $49,704.55
| Facility | | $23,678.95 | $33,859.98 | $49,704.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,424.34 / $33,481.28 / $70,211.31
| Facility | | $17,424.34 | $33,481.28 | $70,211.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,678.95 / $36,865.40 / $49,978.58
| Facility | | $23,678.95 | $36,865.40 | $49,978.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,860.13 / $31,178.67 / $46,871.62
| Facility | | $6,860.13 | $31,178.67 | $46,871.62 |