- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,471.29 / $29,512.09 / $56,234.13
| Facility | | $10,471.29 | $29,512.09 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,622.78 / $46,773.51 / $58,884.37
| Facility | | $31,622.78 | $46,773.51 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $34,673.69 / $47,863.01
| Facility | | $15,488.17 | $34,673.69 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,952.62 / $35,481.34 / $89,125.09
| Facility | | $19,952.62 | $35,481.34 | $89,125.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,489.63 / $13,489.63 / $13,489.63
| Facility | | $13,489.63 | $13,489.63 | $13,489.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,762.47 / $23,442.29 / $47,863.01
| Facility | | $7,762.47 | $23,442.29 | $47,863.01 |