- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,803.84 / $40,738.03 / $77,624.71
| Facility | | $13,803.84 | $40,738.03 | $77,624.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,651.58 / $64,565.42 / $81,283.05
| Facility | | $43,651.58 | $64,565.42 | $81,283.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $47,863.01 / $66,069.34
| Facility | | $15,488.17 | $47,863.01 | $66,069.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,542.29 / $48,977.88 / $123,026.88
| Facility | | $27,542.29 | $48,977.88 | $123,026.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,620.87 / $18,620.87 / $18,620.87
| Facility | | $18,620.87 | $18,620.87 | $18,620.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,317.64 / $32,359.37 / $66,069.34
| Facility | | $8,317.64 | $32,359.37 | $66,069.34 |