- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,721.10 / $30,044.20 / $50,726.70
| Facility | | $13,721.10 | $30,044.20 | $50,726.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,585.00 / $39,812.47 / $59,956.90
| Facility | | $1,585.00 | $39,812.47 | $59,956.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,950.84 / $42,828.54 / $62,869.90
| Facility | | $29,950.84 | $42,828.54 | $62,869.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,039.56 / $42,556.47 / $88,808.32
| Facility | | $22,039.56 | $42,556.47 | $88,808.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,950.84 / $46,630.02 / $63,216.50
| Facility | | $29,950.84 | $46,630.02 | $63,216.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,420.32 / $38,424.81 / $65,872.08
| Facility | | $5,420.32 | $38,424.81 | $65,872.08 |