- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $40,738.03 / $75,857.76
| Facility | | $15,488.17 | $40,738.03 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,657.95 / $63,095.73 / $79,432.82
| Facility | | $42,657.95 | $63,095.73 | $79,432.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,673.69 / $54,954.09 / $69,183.10
| Facility | | $34,673.69 | $54,954.09 | $69,183.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,915.35 / $48,977.88 / $120,226.44
| Facility | | $26,915.35 | $48,977.88 | $120,226.44 |
- 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
- $9,332.54 / $41,686.94 / $70,794.58
| Facility | | $9,332.54 | $41,686.94 | $70,794.58 |