- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,614.44 / $21,145.30 / $35,544.60
| Facility | | $9,614.44 | $21,145.30 | $35,544.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,310.93 / $38,559.47 / $49,999.76
| Facility | | $26,310.93 | $38,559.47 | $49,999.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,986.78 / $30,010.28 / $44,053.41
| Facility | | $20,986.78 | $30,010.28 | $44,053.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,749.84 / $29,674.64 / $62,228.66
| Facility | | $16,749.84 | $29,674.64 | $62,228.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,986.78 / $32,674.00 / $44,296.28
| Facility | | $20,986.78 | $32,674.00 | $44,296.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,080.17 / $27,633.82 / $50,474.32
| Facility | | $6,080.17 | $27,633.82 | $50,474.32 |