- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,096.20 / $26,486.40 / $44,719.70
| Facility | | $12,096.20 | $26,486.40 | $44,719.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,605.59 / $43,866.92 / $60,004.00
| Facility | | $29,605.59 | $43,866.92 | $60,004.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,404.13 / $37,756.87 / $55,424.97
| Facility | | $26,404.13 | $37,756.87 | $55,424.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,429.68 / $37,334.58 / $78,291.82
| Facility | | $19,429.68 | $37,334.58 | $78,291.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,404.13 / $41,108.18 / $55,730.53
| Facility | | $26,404.13 | $41,108.18 | $55,730.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,649.65 / $34,766.97 / $52,266.00
| Facility | | $7,649.65 | $34,766.97 | $52,266.00 |