- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,535.40 / $36,206.69 / $61,131.50
| Facility | | $16,535.40 | $36,206.69 | $61,131.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,934.44 / $57,776.02 / $74,917.71
| Facility | | $38,934.44 | $57,776.02 | $74,917.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,094.21 / $51,613.31 / $75,765.45
| Facility | | $36,094.21 | $51,613.31 | $75,765.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,560.20 / $51,036.06 / $107,024.23
| Facility | | $26,560.20 | $51,036.06 | $107,024.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,094.21 / $56,194.53 / $76,183.14
| Facility | | $36,094.21 | $56,194.53 | $76,183.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $46,306.30 / $73,044.00
| Facility | | $9,114.00 | $46,306.30 | $73,044.00 |