- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,909.60 / $30,457.10 / $51,423.90
| Facility | | $13,909.60 | $30,457.10 | $51,423.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,613.00 / $40,905.32 / $62,619.76
| Facility | | $1,613.00 | $40,905.32 | $62,619.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,362.49 / $43,417.18 / $63,733.98
| Facility | | $30,362.49 | $43,417.18 | $63,733.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,342.47 / $42,931.59 / $90,028.90
| Facility | | $22,342.47 | $42,931.59 | $90,028.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,362.49 / $47,270.90 / $64,085.35
| Facility | | $30,362.49 | $47,270.90 | $64,085.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,796.44 / $38,952.91 / $60,101.43
| Facility | | $8,796.44 | $38,952.91 | $60,101.43 |