- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,302.69 / $19,498.45 / $52,480.75
| Facility | | $12,302.69 | $19,498.45 | $52,480.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,199.52 / $30,199.52 / $30,199.52
| Facility | | $30,199.52 | $30,199.52 | $30,199.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $30,902.95 / $47,863.01
| Facility | | $21,379.62 | $30,902.95 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,595.87 / $25,703.96 / $34,673.69
| Facility | | $16,595.87 | $25,703.96 | $34,673.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75,857.76 / $93,325.43 / $93,325.43
| Facility | | $75,857.76 | $93,325.43 | $93,325.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,801.89 / $27,542.29 / $39,810.72
| Facility | | $3,801.89 | $27,542.29 | $39,810.72 |