- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,182.57 / $35,481.34 / $64,565.42
| Facility | | $13,182.57 | $35,481.34 | $64,565.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,307.81 / $53,703.18 / $67,608.30
| Facility | | $36,307.81 | $53,703.18 | $67,608.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,512.09 / $45,708.82 / $58,884.37
| Facility | | $29,512.09 | $45,708.82 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $40,738.03 / $102,329.30
| Facility | | $22,908.68 | $40,738.03 | $102,329.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,332.54 / $35,481.34 / $57,543.99
| Facility | | $9,332.54 | $35,481.34 | $57,543.99 |