- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,523.59 / $25,753.60 / $39,761.30
| Facility | | $17,523.59 | $25,753.60 | $39,761.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,057.87 / $33,057.87 / $33,057.87
| Facility | | $33,057.87 | $33,057.87 | $33,057.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,912.77 / $61,006.90 / $78,213.98
| Facility | | $42,912.77 | $61,006.90 | $78,213.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,722.22 / $38,131.06 / $46,884.10
| Facility | | $19,722.22 | $38,131.06 | $46,884.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,523.59 / $26,341.40 / $42,121.10
| Facility | | $17,523.59 | $26,341.40 | $42,121.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,493.68 / $35,044.44 / $53,242.69
| Facility | | $20,493.68 | $35,044.44 | $53,242.69 |