- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,613.20 / $25,428.90 / $42,934.10
| Facility | | $11,613.20 | $25,428.90 | $42,934.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,120.76 / $40,245.33 / $52,185.81
| Facility | | $27,120.76 | $40,245.33 | $52,185.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,349.84 / $36,249.28 / $53,211.91
| Facility | | $25,349.84 | $36,249.28 | $53,211.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,653.87 / $35,843.86 / $75,165.71
| Facility | | $18,653.87 | $35,843.86 | $75,165.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,349.84 / $39,466.78 / $53,505.27
| Facility | | $25,349.84 | $39,466.78 | $53,505.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,344.20 / $33,378.76 / $50,179.07
| Facility | | $7,344.20 | $33,378.76 | $50,179.07 |